LESLIE A HASS (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1275913824
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for LESLIE A HASS (AGPCNP-BC)
113 S APPLE ST
SHOSHONE, ID 833525287
Phone: (208) 886-2224
Fax: (208) 886-2634
Type: Mailing
3704 N 2200 E
FILER, ID 833285260
Phone: (208) 751-9708
Fax: (208) 736-0890
Type: Mailing
475 POLK ST STE F
TWIN FALLS, ID 833014864
Phone: (208) 751-9708
Fax: (208) 736-0890
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $976.
Total Amount is formed as General ($976) + Research ($0) + Ownership ($0) = $976.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($320).
Total Amount
$976
General + Research + Ownership
Payments
32
Total payment records
General Amount
$976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $320 |
| ITI, Inc. | $192 |
| E.R. Squibb & Sons, L.L.C. | $133 |
| BioXcel Therapeutics, Inc. | $102 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $81 |
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: 2015-12-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151229000888 | I | Nurse Practitioner | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | ID |
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