Individual provider Active NPI

Steven Frederick Legate, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Lomira, WI
National Provider Identifier
1245872761
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7309-23 Issued in WI
Practice address
N11896 State Road 175
Lomira, WI 53048-9209
Phone
(209) 269-5000
NPI assigned
Oct 16, 2019
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7309-23 WI Primary

Addresses

Primary practice location

N11896 State Road 175
Lomira, WI 53048-9209

Mailing address

N11896 Wi-175
Lomira, WI 53051
Phone (920) 269-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7696AZMDPhysical Therapist
7309-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Irc DC Az, LLC PastSince Mar 22, 2020 Accepting new patients
SWPT Incorporated PastSince Oct 1, 2019 Accepting new patients
Quad/Med, LLC PastSince Jun 15, 2025 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1245872761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N11896 WI-175",
            "city": "LOMIRA",
            "state": "WI",
            "postal_code": "53051",
            "telephone_number": "920-269-5000",
            "fax_number": "920-269-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N11896 STATE ROAD 175",
            "city": "LOMIRA",
            "state": "WI",
            "postal_code": "530489209",
            "telephone_number": "209-269-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGATE",
        "first_name": "STEVEN",
        "middle_name": "FREDERICK",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7309-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomira, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.