Individual provider Active NPI

Leslie Brook McKenna, FNP

  • Nurse Practitioner
  • Evergreen, CO
National Provider Identifier
1912237769
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4293 Issued in CO
Practice address
3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Phone
(303) 674-6400
Fax
(303) 679-3454
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34639 TN
Nurse Practitioner 363L00000X 4293 CO Primary

Addresses

Primary practice location

3081 Bergen Peak Dr
Evergreen, CO 80439-2200

Mailing address

3081 Bergen Peak Dr
Evergreen, CO 80439-2200
Phone (303) 674-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040505000663 CO Practitioner - Nurse Practitioner 4486642626
I20240827000706 TN Practitioner - Nurse Practitioner 4486642626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

4490 Hixson Pike
Hixson, TN 37343-5038
Phone (423) 875-0700

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
72.92
Promoting interoperability
100
Improvement activities
40
Cost
72.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4293COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Medical Clinic LLC Current Accepting new patients
Advanced Urgent Care LLC CurrentSince Apr 17, 2023 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Jun 12, 2024 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Jun 12, 2024 Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Cherry Creek Family Practice PLLC Past Accepting new patients
Iora Health, LLC Past Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

2241 E Arapahoe Rd
Centennial, CO 80122
Phone (303) 558-0513

455 Chickamauga Dr
Ste 104
Dayton, TN 37321
Phone (423) 570-0252

4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1912237769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 BERGEN PEAK DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392200",
            "telephone_number": "303-674-6400",
            "fax_number": "303-579-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 BERGEN PEAK DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392200",
            "telephone_number": "303-674-6400",
            "fax_number": "303-679-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "LESLIE",
        "middle_name": "BROOK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34639",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "4293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.