Individual provider Active NPI

Nancy Jean Lemoi, PA-C

  • Medical Physician Assistant
  • Dover, DE
National Provider Identifier
1295702256
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C5-0000935 Issued in DE
Practice address
1100 Forrest Ave
Dover, DE 19904-3309
Phone
(302) 674-4627
Fax
(302) 674-4628
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000935 DE
Medical Physician Assistant 363AM0700X C5-0000935 DE Primary

Addresses

Primary practice location

1100 Forrest Ave
Dover, DE 19904-3309

Mailing address

1100 Forrest Ave
Dover, DE 19904-3309
Phone (302) 674-4627

Other names 1

  • Nancy Jean Fielstra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141002001537 DE Practitioner - Physician Assistant 8022099076 Reassigns benefits to 1 organization
I20230525001462 NY Practitioner - Physician Assistant 8022099076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0000935DEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince May 28, 2023 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince May 28, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

73 Buffalo St
Canandaigua, NY 14424

73 Buffalo St
Ste 100
Canandaigua, NY 14424

1504 W State St
Olean, NY 14760
Phone (716) 372-1046

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Organizations & group practices 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1295702256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043309",
            "telephone_number": "302-674-4627",
            "fax_number": "302-674-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043309",
            "telephone_number": "302-674-4627",
            "fax_number": "302-674-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOI",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000935",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0000935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "FIELSTRA",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.