MRS. LESLIE ANN ETHRIDGE (CRNP, FNP) – Family Nurse Practitioner, NPI 1639804560
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221019000806 | I | Nurse Practitioner | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 65 | $0 |
| 71046 | X-ray of chest, 2 views | 35 | 33 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 16 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 36027)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Pulmonary Disease | AL | |
| Pulmonary Disease | AL |
Reviews
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