LEANNA MICHELLE PHILLIPS (NP) – Family Nurse Practitioner, NPI 1003792011

LEANNA MICHELLE PHILLIPS (NP) is a healthcare provider. based in Dora, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-137809 (AL). The NPI Number for LEANNA MICHELLE PHILLIPS (NP) is 1003792011

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LEANNA MICHELLE PHILLIPS (NP)
NPI
1003792011
Phone
(205) 639-4883
Address
9991 BANKSTON RD
Enumeration Date
14 August 2025
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2052265900
Graduation Year
2023 (3 years ago)
PAC ID
0345746616
Group Practice PAC ID
1557330859
Professional Enrollment ID
I20251006000065
Address ID
AL355018951JA3400XEXXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for LEANNA MICHELLE PHILLIPS (NP)

  • 9991 BANKSTON RD

    DORA, AL 350621724

    Phone: (205) 639-4883

    Type: Mailing

  • 3400 HIGHWAY 78 E STE 321

    JASPER, AL 355018951

    Phone: (205) 226-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251006000065INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557330859View full group profile
NameSpecialtyState
N E P H R O L O G YAL
Nurse PractitionerAL
N E P H R O L O G YAL
-AL
N E P H R O L O G YAL
-AL
N E P H R O L O G YAL
Internal MedicineAL
Nurse PractitionerAL
Internal Medicine, NephrologyAL

Reviews

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Frequently asked questions

Is LEANNA MICHELLE PHILLIPS (NP) listed with a National Provider Identifier?
Yes — LEANNA MICHELLE PHILLIPS (NP) has NPI 1003792011 on file in the registry.
Would LEANNA MICHELLE PHILLIPS (NP) appear as active to a payer?
You can treat LEANNA MICHELLE PHILLIPS (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LEANNA MICHELLE PHILLIPS (NP)?
LEANNA MICHELLE PHILLIPS (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LEANNA MICHELLE PHILLIPS (NP)?
Directory geography for LEANNA MICHELLE PHILLIPS (NP) centers on Dora, Alabama.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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