MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) – Family Nurse Practitioner, NPI 1639804560

MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) is a healthcare provider. based in Eufaula, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP, FNP. They hold a License No. 1-155435 (AL). The NPI Number for MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) is 1639804560

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LESLIE ANN ETHRIDGE (CRNP, FNP)
NPI
1639804560
Phone
(334) 689-4025
Address
1026 S EUFAULA AVE
Enumeration Date
25 July 2022
Last Update Date
31 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3343050400
Graduation Year
2022 (4 years ago)
PAC ID
7618343476
Group Practice PAC ID
8022031475
Professional Enrollment ID
I20221019000806
Address ID
AL363014770DO1450XCIRX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. LESLIE ANN ETHRIDGE (CRNP, FNP)

  • 1026 S EUFAULA AVE

    EUFAULA, AL 360272702

    Phone: (334) 689-4025

    Type: Mailing

  • 1450 ROSS CLARK CIR STE 400

    DOTHAN, AL 363014770

    Phone: (334) 305-0400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 158 Open Payments records for all available years, with a total value of $3,932.

Total Amount is formed as General ($3,932) + Research ($0) + Ownership ($0) = $3,932.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($798).

Total Amount

$3,932

General + Research + Ownership

Payments

158

Total payment records

General Amount

$3,932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-19

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
I20221019000806INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7165$0
71046X-ray of chest, 2 views3533$0
94010Test to measure expiratory airflow and volume1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 36027)

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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: 8022031475View full group profile
NameSpecialtyState
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Physician AssistantAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Pulmonary DiseaseAL
Pulmonary DiseaseAL

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. LESLIE ANN ETHRIDGE (CRNP, FNP)'s NPI?
Yes. MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) is listed with NPI 1639804560 in the public NPI dataset.
Is MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) listed as active for patients and plans?
The listing shows MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) as active in the NPI system.
What is MRS. LESLIE ANN ETHRIDGE (CRNP, FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. LESLIE ANN ETHRIDGE (CRNP, FNP)?
MRS. LESLIE ANN ETHRIDGE (CRNP, FNP)'s geographic hint is Eufaula, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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