Leslie Ann Shortridge, FNP - Medicare Nurse Practitioner in Albany, OR

Leslie Ann Shortridge, FNP is a medicare enrolled "Nurse Practitioner - Family" in Albany, Oregon. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Icco Llc and her current practice location is 1815 14th Ave Se, Albany, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 547-1369.

Leslie Ann Shortridge is licensed to practice in Oregon (license number 201605969NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861799165.

Contact Information

Leslie Ann Shortridge, FNP
1815 14th Ave Se,
Albany, OR 97322-8502
(541) 547-1369
Not Available



Provider's Profile

Full NameLeslie Ann Shortridge
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1815 14th Ave Se, Albany, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leslie Ann Shortridge graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1861799165
  • Provider Enumeration Date: 02/22/2011
  • Last Update Date: 11/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052699832
  • Enrollment ID: I20161028002067

Medical Identifiers

Medical identifiers for Leslie Ann Shortridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861799165NPI-NPPES
089006788RNOtherOROR NURSING LICENSE
201605969NP-PPOtherORFNP LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201605969NP-PP (Oregon)Primary
163W00000XRegistered Nurse 089006788RN (Oregon)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icco Llc135540672999

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leslie Ann Shortridge allows following entities to bill medicare on her behalf.
Entity NameIcco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Ann Shortridge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie Ann Shortridge, FNP
Po Box 4858,
Portland, OR 97208-4858

Ph: (541) 500-2555
Leslie Ann Shortridge, FNP
1815 14th Ave Se,
Albany, OR 97322-8502

Ph: (541) 547-1369

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Nurse Practitioner Nurses in Albany, OR

Huei Ling Tsai, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2832 Weather Stone St Nw # Na, Albany, OR 97321
Phone: 415-619-4332    
Ms. Virginia J Taylor, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1100 7th Ave Sw, Albany, OR 97321
Phone: 541-812-4980    Fax: 541-926-9329
Mrs. Jessica Anne Henry, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Geary St Se, Albany, OR 97322
Phone: 541-812-5500    
Ms. Jennifer Marie Wilson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Geary St Se, Albany, OR 97322
Phone: 541-812-5500    
Susan Parker, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1005 Springhill Dr. Nw, Albany, OR 97321
Phone: 541-967-4518    
Mrs. Yvonne Elaine Keep, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1705 Waverly Dr Se, Albany, OR 97322
Phone: 541-967-8221    
Jonell Blase, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1100 7th Ave Sw, Albany, OR 97321
Phone: 541-812-5600    

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