Individual provider Active NPI

Travis James Lemieur, PA

  • Medical Physician Assistant
  • Schenectady, NY
National Provider Identifier
1376194811
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
024239 Issued in NY
Practice address
59 Hetcheltown Rd
Schenectady, NY 12302-5506
Phone
(518) 384-3600
NPI assigned
Sep 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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
Medical Physician Assistant 363AM0700X 024239 NY Primary

Addresses

Primary practice location

59 Hetcheltown Rd
Schenectady, NY 12302-5506

Mailing address

10 Cliff Top Dr
Albany, NY 12211-1544
Phone (518) 573-5152

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191028000147 NY Practitioner - Physician Assistant 4880926724 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024239NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Oct 6, 2025 Accepting new patients
New York General Medical Services PC CurrentSince Oct 6, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: ms_tlemieur@landmarkhealth-direct.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1376194811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLIFF TOP DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111544",
            "telephone_number": "518-573-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HETCHELTOWN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123025506",
            "telephone_number": "518-384-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUR",
        "first_name": "TRAVIS",
        "middle_name": "JAMES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "024239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.