Individual provider Active NPI

Anna Katherine Leurck, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1922623453
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-159554 Issued in AL
Practice address
1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone
(251) 432-4117
Fax
(251) 436-7765
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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 1-159554 AL Primary
Adult Health Nurse Practitioner 363LA2200X 1-159554 AL

Addresses

Primary practice location

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341

Mailing address

PO Box 2048
Mobile, AL 36652-2048
Phone (251) 432-4117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anna.leurck@franklinprimary.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000323 AL Practitioner - Nurse Practitioner 3274953740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6345 Airport Blvd
Suite J
Mobile, AL 36608-3127
Phone (877) 448-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-159554ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Aug 1, 2022 Accepting new patients
Baldwin Emergency Physicians, P.C.. CurrentSince Jul 1, 2021 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Aug 1, 2022 Accepting new patients
Franklin Primary Health Center Inc. CurrentSince Jul 14, 2020 Accepting new patients
Franklin Primary Health Center, Inc CurrentSince Jul 14, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

1930 Edwards Lake Rd
Ste 110
Birmingham, AL 35235

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1102 Monroe St SW
Huntsville, AL 35801
Phone (256) 469-7200

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

6345 Airport Blvd
Ste J
Mobile, AL 36608

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Organizations & group practices 6

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1922623453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522048",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DR MARTIN L KING JR AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035341",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEURCK",
        "first_name": "ANNA",
        "middle_name": "KATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-159554",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-159554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.leurck@franklinprimary.org",
            "affiliation": "N",
            "address_1": "1303 Dr Martin L King Jr Ave",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366035341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.