NPIMap

Individual provider Active NPI

Lindsay R Leveille, MD

  • Family Medicine Physician
  • Staples, MN
National Provider Identifier
1457796740
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58098 Issued in MN
Practice address
49725 County 83
Staples, MN 56479-5280
Phone
(218) 894-1515
Fax
(218) 894-8767
NPI assigned
May 1, 2013
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58098 MN Primary

Addresses

Primary practice location

49725 County 83
Staples, MN 56479-5280

Mailing address

49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830000146 MN Practitioner - Family Practice 8022312347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Health SystemGroup PAC ID 1052229671, shared by 15 NPIs, 107 clinicians

Practice addresses (Care Compare)

49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58098MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Health System CurrentSince Sep 6, 2016 Accepting new patients
Lakewood Health System Current Accepting new patients
Lakewood Health System CurrentSince Sep 6, 2016 Accepting new patients
Lakewood Health System Current Accepting new patients

Locations

30535 241st Ave
Browerville, MN 56438
Phone (320) 594-2231

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Interoperability endpoints

  • Direct secure messaging: lleveille625591@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakewood Health SystemStaples, MN, CCN 241329 Hospital Corporate Director Jul 1, 2023
Lakewood Health SystemStaples, MN, CCN 24Z329 Hospital Corporate Director Jul 1, 2023
Lakewood Health SystemStaples, MN, CCN 245420A Skilled nursing facility Corporate Director Jul 1, 2023
Lakewood Health System Home Care and HospiceStaples, MN, CCN 247124 Home health agency Corporate Director Jul 1, 2023
Lakewood Health SystemStaples, MN, CCN 241559 Hospice Corporate Director Jul 1, 2023
Lakewood Health System BrowervilleBrowerville, MN, CCN 243423 Rural health clinic Corporate Director Jul 1, 2023
Lakewood ClinicStaples, MN, CCN 243422 Rural health clinic Corporate Director Jul 1, 2023
Lakewood Clinic-BrowervilleEagle Bend, MN, CCN 243421 Rural health clinic Corporate Director Jul 1, 2023
Lakewood Clinic-MotleyMotley, MN, CCN 243431 Rural health clinic Corporate Director Jul 1, 2023
Lakewood Clinic-PillagerPillager, MN, CCN 243436 Rural health clinic Corporate Director Jul 1, 2023

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1457796740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515",
            "fax_number": "218-894-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515",
            "fax_number": "218-894-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEILLE",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "58098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staples, MN

Sources for this page

Verify at the official NPI Registry.