Individual provider Active NPI

Lee Kathleen Yergeau, PA-C

  • Medical Physician Assistant
  • Lowell, MA
National Provider Identifier
1477992907
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4664 Issued in MA
Practice address
595 Pawtucket Blvd,
2ND Floor
Lowell, MA 01854
Phone
(978) 970-1607
Fax
(978) 970-1115
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0951 NH
Physician Assistant 363A00000X 0951 NH
Surgical Physician Assistant 363AS0400X 0951 NH
Medical Physician Assistant 363AM0700X PA4664 MA Primary

Addresses

Primary practice location

595 Pawtucket Blvd,
2ND Floor
Lowell, MA 01854

Mailing address

595 Pawtucket Blvd,
2ND Floor
Lowell, MA 01854
Phone (978) 970-1607

Other names 1

  • Lee K Curtis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150928000891 MA Practitioner - Physician Assistant 0941444087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mill City Medical Group LTDGroup PAC ID 3577507797, 19 clinicians

Practice addresses (Care Compare)

1175 Mammoth Rd
Suite 1
Dracut, MA 01826-3155
Phone (978) 955-9500

165 Thorndike St
FL 4
Lowell, MA 01852-3485
Phone (978) 955-9500

595 Pawtucket Blvd
Suite 2
Lowell, MA 01854-2042
Phone (978) 955-9500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Jan 13, 2018 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Jan 13, 2018 Accepting new patients
Chiropractic Healing Center PC Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

155 Broadway Rd
Ste 6
Dracut, MA 01826
Phone (978) 458-0475

595 Pawtucket Blvd
Ste 2
Lowell, MA 01854
Phone (978) 459-8447

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lyergeau49815@tuftsmedicine.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1477992907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD,",
            "address_2": "2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-970-1607",
            "fax_number": "978-970-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD,",
            "address_2": "2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-970-1607",
            "fax_number": "978-970-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERGEAU",
        "first_name": "LEE",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0951",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0951",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "0951",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "CURTIS",
            "middle_name": "K",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.