Leslie Leeann Ellis, FNP - Medicare Nurse Practitioner in Mc Kenzie, TN

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Leslie Leeann Ellis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mc Kenzie, Tennessee. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ultra Health Llc, Pineville Community Health Center Inc and her current practice location is 150 Oak Manor Rd, Mc Kenzie, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 394-1145.

Leslie Leeann Ellis is licensed to practice in Tennessee (license number APN0000015946) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790063212.

Contact Information

Leslie Leeann Ellis, FNP
150 Oak Manor Rd,
Mc Kenzie, TN 38201-8846
(731) 394-1145
Not Available

Map and Direction




Provider's Profile

Full NameLeslie Leeann Ellis
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location150 Oak Manor Rd, Mc Kenzie, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leslie Leeann Ellis graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1790063212
  • Provider Enumeration Date: 08/01/2011
  • Last Update Date: 04/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547430621
  • Enrollment ID: I20110829000031

Medical Identifiers

Medical identifiers for Leslie Leeann Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790063212NPI-NPPES
1529449MedicaidTN
7100209750MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APN0000015946 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 3013613 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 15946 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family APN0000015946 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial Home CareHuntingdon, TNHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ultra Health Llc680018660285
Pineville Community Health Center Inc569800915729

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leslie Leeann Ellis allows following entities to bill medicare on her behalf.
Entity NameMckenzie Medical Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700534229
PECOS PAC ID: 2365427853
Enrollment ID: O20040619000083
Entity NameLakeside Health Clinic, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336492495
PECOS PAC ID: 4082867882
Enrollment ID: O20130103000107
Entity NameUltra Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20160607002194

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Leeann Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie Leeann Ellis, FNP
36 Pemberton Cv,
Jackson, TN 38305-5514

Ph: (731) 394-1145		Leslie Leeann Ellis, FNP
150 Oak Manor Rd,
Mc Kenzie, TN 38201-8846

Ph: (731) 394-1145

Reviews and Comments


Nurse Practitioner Nurses in Mc Kenzie, TN

Lori B Holladay, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459
Beth Mitchell Graves, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459
Mrs. Victoria Brooke Ivy, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1894 Cedar St, Mc Kenzie, TN 38201
Phone: 731-207-6496    
Gyu Chang Jo, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459
Meredith Ann Brown, NP-C, CHPN, MSN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459
Briana Page Chandler, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201
Phone: 731-352-7907    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.