Individual provider Active NPI

Darcy L Lesniak, MD

  • Pediatrics Physician
  • Germantown, WI
National Provider Identifier
1104859198
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44442 Issued in WI
Practice address
N112W15415 Mequon Rd
Germantown, WI 53022-3410
Phone
(262) 250-7800
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44442 WI Primary

Addresses

Primary practice location

N112W15415 Mequon Rd
Germantown, WI 53022-3410

Mailing address

N112W15415 Mequon Rd
Germantown, WI 53022-3410
Phone (262) 250-7800

Other identifiers 1

IdentifierTypeStateIssuer
34375400MedicaidWI

Other names 1

  • Darcy L Fechner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110105001058 WI Practitioner - Pediatric Medicine 8426047986 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44442WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Feb 18, 2010 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Feb 18, 2010 Accepting new patients

Locations

N143W6515 Pioneer Rd
Cedarburg, WI 53012
Phone (262) 377-2495

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470

1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1104859198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W15415 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223410",
            "telephone_number": "262-250-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W15415 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223410",
            "telephone_number": "262-250-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNIAK",
        "first_name": "DARCY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "44442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34375400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCY",
            "last_name": "FECHNER",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, WI

Sources for this page

Verify at the official NPI Registry.