Individual provider Active NPI

Aquila Lesko, M.D.

  • Psychiatry Physician
  • Green Bay, WI
National Provider Identifier
1467039644
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
81061 Issued in WI
Practice address
2851 University Ave
Green Bay, WI 54311-5855
Phone
(920) 431-2500
NPI assigned
Mar 25, 2021
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 81061 WI Primary

Addresses

Primary practice location

2851 University Ave
Green Bay, WI 54311-5855

Mailing address

7100 S South Shore Dr Apt 1002
Chicago, IL 60649-2767

Other practice location 1

3150 Gershwin Dr
Green Bay, WI 54311-4328
Phone (920) 391-4700

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
I20240202001429 WI Practitioner - Psychiatry 2163875436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Waukesha CountyGroup PAC ID 3971405481, 29 clinicians
County of BrownGroup PAC ID 1355435900, 16 clinicians

Practice addresses (Care Compare)

1501 Airport Rd
Waukesha, WI 53188-2461
Phone (262) 548-7950

3150 Gershwin Dr
Green Bay, WI 54311-4328
Phone (920) 391-4700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81061WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Brown CurrentSince Dec 15, 2024 Accepting new patients
Waukesha County CurrentSince Jan 1, 2024 Accepting new patients
Waukesha County Current Accepting new patients
County of Brown CurrentSince Dec 15, 2024 Accepting new patients
County of Brown Current Accepting new patients
Waukesha County CurrentSince Jan 1, 2024 Accepting new patients
Waukesha County Past Accepting new patients
Waukesha County Past Accepting new patients

Locations

3150 Gershwin Dr
Green Bay, WI 54311
Phone (920) 391-4700

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

Organizations & group practices 8

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1467039644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 S SOUTH SHORE DR APT 1002",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 UNIVERSITY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115855",
            "telephone_number": "920-431-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Gershwin Dr",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543114328",
            "country_code": "US",
            "telephone_number": "920-391-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESKO",
        "first_name": "AQUILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "81061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.