LEAH OLIVIA ROSS – Family Nurse Practitioner, NPI 1104592955

LEAH OLIVIA ROSS is a healthcare provider. based in Dumas, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. 216451 (AR). The NPI Number for LEAH OLIVIA ROSS is 1104592955

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LEAH OLIVIA ROSS
NPI
1104592955
Phone
(870) 377-3050
Address
104 SOUTH MAY DRIVE, DUMAS, AR, USA
Enumeration Date
20 August 2021
Last Update Date
20 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702244411
Graduation Year
2021 (5 years ago)
PAC ID
7113324443
Group Practice PAC ID
3971909805
Professional Enrollment ID
I20210929000400
Address ID
AR716559717MO940XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for LEAH OLIVIA ROSS

  • 104 SOUTH MAY DRIVE, DUMAS, AR, USA

    DUMAS, AR 71639

    Phone: (870) 377-3050

    Type: Mailing

  • 940 OLD WARREN ROAD

    MONTICELLO, AR 71655

    Phone: (870) 377-3050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $908.

Total Amount is formed as General ($908) + Research ($0) + Ownership ($0) = $908.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($331).

Total Amount

$908

General + Research + Ownership

Payments

56

Total payment records

General Amount

$908

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-09-29

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
I20210929000400INurse PractitionerARTBD

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 71639)

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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: 3971909805View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineTX
Family PracticeTX
Family PracticeAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Does LEAH OLIVIA ROSS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LEAH OLIVIA ROSS uses 1104592955.
Does CMS list LEAH OLIVIA ROSS as active?
Yes — LEAH OLIVIA ROSS is active in the NPI listing used on this page.
What healthcare role does LEAH OLIVIA ROSS hold?
Scheduling teams often label LEAH OLIVIA ROSS under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LEAH OLIVIA ROSS based?
LEAH OLIVIA ROSS is tied to Dumas, Arkansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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