Active NPI
Leanne Jessup Shoffner, NP
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 900217
- Practice address
- 1010 Bethesda CT
Winston Salem, NC 27103-3019 - Phone
- (336) 277-6000
- Fax
- (336) 277-6001
- NPI assigned
- Jan 24, 2006
- Last updated
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 900217 | NC | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 900217 | NC |
Addresses
Primary practice location
1010 Bethesda CT
Winston Salem, NC 27103-3019
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005531 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lshoffner154683@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Bethesda CT
Winston Salem, NC 27103-3019
Phone (336) 277-6000
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
276 Old Mocksville Rd
Ste 800
Statesville, NC 28625
Phone (704) 873-5150
1213 Lexington Ave
#B
Thomasville, NC 27360
Phone (336) 249-6632
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000
175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
-
dba Professional Service of Thomasville Medical Center
- Specialist
- Thomasville, NC
- NPI 1033160205
-
dba Novant Health Cancer Institute
- Hematology & Oncology Physician
- Kernersville, NC
- NPI 1073823118
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1407150816
-
dba Novant Health Cancer Institute
- Hematology & Oncology Physician
- Statesville, NC
- NPI 1063167369
-
dba NH Rowan Cancer Clinics
- Hematology & Oncology Physician
- Salisbury, NC
- NPI 1427770130
-
dba Novant Health Cancer Institute
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1649159609
-
dba Novant Health Rheumatology and Arthritis
- Rheumatology Physician
- Winston Salem, NC
- NPI 1750036059
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
dba North Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1982674800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 BETHESDA CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033019",
"telephone_number": "336-277-6000",
"fax_number": "336-277-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOFFNER",
"first_name": "LEANNE",
"middle_name": "JESSUP",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "900217",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "900217",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005531",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lshoffner154683@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1010 Bethesda Ct",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271033019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.