MRS. LESLIE ANN ETHRIDGE CRNP, FNP
NPI 1639804560
Nurse Practitioner - Family in Dothan, AL
NPI Status: Active since July 25, 2022
Contact Information
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
Phone: (334) 305-0400
- Individual
- Female
- Years of Experience 4
- Nurse Practitioner
- Family
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LESLIE ETHRIDGE
This page provides the complete NPI Profile along with additional information for Leslie Ethridge, a provider established in Dothan, Alabama with a medical specialization in Nurse Practitioner, focusing in family and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1639804560 assigned on July 2022. The practitioner's primary taxonomy code is 363LF0000X with license number 1-155435 (AL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1639804560
- Provider Name
- MRS. LESLIE ANN ETHRIDGE CRNP, FNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1450 ROSS CLARK CIR STE 400 DOTHAN, AL 36301
- Location Phone
- (334) 305-0400
- Mailing Address
- 1450 ROSS CLARK CIR STE 400 DOTHAN, AL 36301
- Mailing Phone
- (334) 305-0400
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2022
- Last Update Date
- 08-31-2023
- Code Navigator
A nurse practitioner (NP) like Leslie Ethridge is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1-155435
- License State
- AL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Elite VALUE Bronze - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $2 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $2 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Leslie Ethridge is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Leslie Ethridge is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7618343476
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221019000806
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.47 for a new patient copayment and $23.43 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 36301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.72
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $23.43
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MRS. LESLIE ANN ETHRIDGE CRNP, FNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 3 | 9 | 8 | 0 | 4 | 5 | 6 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 16 | 0 | 8 | 5 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 1 + 6 + 0 + 8 + 5 + 1 + 2 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1639804560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
ALAN WESLEY PURVIS MD
Internal Medicine
(Pulmonary Disease)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
GUT PC
Anesthesiology
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
PULMONARY ASSOCIATES, PA
Internal Medicine
(Pulmonary Disease)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
BRITANY SASSER NURSE PRACTITONER
Nurse Practitioner
(Family)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
JERRY PAUL WISDOM III CRNP
Nurse Practitioner
(Family)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
BRIAN REYNOLDS SINCLAIR MD
Internal Medicine
(Pulmonary Disease)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
MRS. AMANDA WEST PYBUS CRNP
Nurse Practitioner
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
KEESHA TYLER FNP
Nurse Practitioner
(Family)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
MELISSA WATKINS CRNP
Nurse Practitioner
(Gerontology)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
DR. WALTER JEFFERIES DOTY IV M.D.
Internal Medicine
(Pulmonary Disease)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
MARVIN WALKER SEXTON MD
Internal Medicine
(Pulmonary Disease)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
CHRISTINA LOUISE BELL N.P.-C
Nurse Practitioner
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
CHASITY ANN FISHER FNP-C
Nurse Practitioner
(Family)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
REGAN WOODHAM AGACNP-BC
Nurse Practitioner
(Acute Care)
1450 ROSS CLARK CIR STE 400
DOTHAN, AL
ZIP 36301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639804560, enumerated as an "individual" on July 25, 2022.
The provider is located at 1450 ROSS CLARK CIR STE 400 DOTHAN, AL 36301 and the phone number is (334) 305-0400.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.