MRS. LESLIE RENEE ELLIOTT (FNP-BC) – Family Nurse Practitioner, NPI 1730636556

MRS. LESLIE RENEE ELLIOTT (FNP-BC) is a healthcare provider. based in Bulls gap, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 21542 (TN). The NPI Number for MRS. LESLIE RENEE ELLIOTT (FNP-BC) is 1730636556

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LESLIE RENEE ELLIOTT (FNP-BC)
NPI
1730636556
Phone
(423) 235-4191
Address
260 HIGHWAY 11 E
Enumeration Date
9 September 2016
Last Update Date
4 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4239211300
Graduation Year
2016 (10 years ago)
PAC ID
5496034381
Group Practice PAC ID
0941118111
Professional Enrollment ID
I20161116002985
Address ID
TN378573155RO4307XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MRS. LESLIE RENEE ELLIOTT (FNP-BC)

  • 260 HIGHWAY 11 E

    BULLS GAP, TN 377113416

    Phone: (423) 235-4191

    Fax: (423) 235-7092

    Type: Location

  • PO BOX 850

    ROGERSVILLE, TN 378570850

    Phone: (423) 235-4191

    Fax: (423) 235-7092

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $469.

Total Amount is formed as General ($469) + Research ($0) + Ownership ($0) = $469.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($192).

Total Amount

$469

General + Research + Ownership

Payments

21

Total payment records

General Amount

$469

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2016-11-16

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
I20161116002985INurse PractitionerTNTBD

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
83036Hemoglobin a1c level1311$0
View full utilization report →

Insurance plans in this area (ZIP 37711)

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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: 0941118111View full group profile
NameSpecialtyState
-TN
Clinical Social WorkerTN
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Physician AssistantTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. LESLIE RENEE ELLIOTT (FNP-BC)?
NPI 1730636556 is assigned to MRS. LESLIE RENEE ELLIOTT (FNP-BC) under the national enumeration system.
Does this profile mean MRS. LESLIE RENEE ELLIOTT (FNP-BC) is currently active?
Yes — MRS. LESLIE RENEE ELLIOTT (FNP-BC) appears active in the national provider directory.
What does MRS. LESLIE RENEE ELLIOTT (FNP-BC) treat or focus on?
Patients typically see MRS. LESLIE RENEE ELLIOTT (FNP-BC) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. LESLIE RENEE ELLIOTT (FNP-BC)?
The snapshot lists Bulls Gap, Tennessee for MRS. LESLIE RENEE ELLIOTT (FNP-BC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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