Individual provider Active NPI

Vanetta L Levesque, M.D.

  • Anesthesiology Physician
  • Richland, WA
National Provider Identifier
1033309133
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD61056152 Issued in WA
Practice address
888 Swift Blvd
Richland, WA 99352-3514
Phone
(509) 946-4611
Fax
(509) 942-2679
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23877 MS
Anesthesiology Physician 207L00000X MD61056152 WA Primary

Addresses

Primary practice location

888 Swift Blvd
Richland, WA 99352-3514

Mailing address

1084 Cayuse Dr
Richland, WA 99352-7765
Phone (857) 928-4343

Other identifiers 1

IdentifierTypeStateIssuer
00903514MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, WA, TX, IA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150904001157 MS Practitioner - Anesthesiology 5496837585 Reassigns benefits to 1 organization
I20201211002570 WA Practitioner - Anesthesiology 5496837585 Reassigns benefits to 1 organization
I20220201001856 TX Practitioner - Anesthesiology 5496837585 Reassigns benefits to 1 organization
I20220422000625 IA Practitioner - Anesthesiology 5496837585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

1351 Fowler St
Suite 330
Richland, WA 99352-4714
Phone (404) 941-1210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61056152WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jun 1, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 29, 2015 Accepting new patients
North Iowa Mercy Clinics Anesthesiology CurrentSince Mar 18, 2024 Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Anesthesiology CurrentSince Nov 2, 2020 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 24, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 29, 2015 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jan 24, 2022 Accepting new patients
North Iowa Mercy Clinics CurrentSince Mar 18, 2024 Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

1731 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 833-5800

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Rm 2525
Jackson, MS 39216
Phone (601) 984-1530

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1351 Fowler St
Ste 330
Richland, WA 99352

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: vlevesque868039@direct.unitypoint.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1033309133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 CAYUSE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527765",
            "telephone_number": "857-928-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SWIFT BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523514",
            "telephone_number": "509-946-4611",
            "fax_number": "509-942-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "VANETTA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "23877",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD61056152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00903514",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.