MR. LESLIE LONDON MUSGROVE CRNA
NPI 1174567473
Nurse Anesthetist, Certified Registered in Charlotte, NC

Active since June 16, 2006Accepts Medicare Assignment
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-8983(704) 355-8994 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Leslie London Musgrove Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LESLIE LONDON MUSGROVE CRNA (NPI 1174567473) is an individual nurse anesthetist, certified registered in Charlotte, North Carolina, licensed in North Carolina (069887) and active in the NPI registry since June 2006. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1174567473
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMR. LESLIE LONDON MUSGROVECredential: CRNA
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing AddressPo Box 32861, Anesthesia Svcs - 5th Floor Surgery TowerCharlotte, NC 28232-2861 · (704) 355-8983
Fax(704) 355-8994
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1174567473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NC · 069887
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1000 BLYTHE BLVD, Charlotte, NC 28203

Other Identifiers 2

MedicaidNAN690SC
Medicaid8050903NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Leslie London Musgrove Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931167327
PECOS Enrollment IDI20050103000224

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Pathology (Anatomic Pathology & Clinical Pathology)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Pathology (Anatomic Pathology & Clinical Pathology)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Pathology (Anatomic Pathology & Clinical Pathology)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD, CAROLINAS MEDICAL CENTER - ANESTHESIOLOGY
CHARLOTTE, NC 28203
Anesthesiology (Pain Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Anesthesiology
1000 BLYTHE BLVD, SOUTHEAST ANESTHESIOLOGY CONSULTANTS PA
CHARLOTTE, NC 28203
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174567473, enumerated as an "individual" on June 16, 2006.

The provider is located at 1000 BLYTHE BLVD CHARLOTTE, NC 28203 and the phone number is (704) 355-8983.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Oscar Health Plan of North Carolina, Inc, Medicare. Please consult your insurance carrier or call the provider to verify.