Lester Yan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33218 Issued in WI

Practice address

13380 W Trepania Rd
Hayward, WI 54843-2186

Phone

(715) 638-5100

Fax

(715) 634-2740

NPI assigned

Aug 24, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lyan70971@mymichiganhealth.midirect.net

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.

• Lac Courte Oreilles Governing

  dba Lac Courte Oreilles Community Health Center

  • Clinic/Center
  • Hayward, WI
  • NPI 1194830208
  Medicare reassignment NPD
• Milwaukee Cardiac Care LLC

  • Cardiovascular Disease Physician
  • Milwaukee, WI
  • NPI 1982625885
  NPD (past)
• North Avenue Family Medical Center

  • Primary Care Clinic/Center
  • Milwaukee, WI
  • NPI 1942437009
  NPD (past)
• Omni Family Medical Clinic SC

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1679528822
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497862387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13380 W TREPANIA RD",
            "address_2": "LAC COURTE OREILLES COMMUNITY HEALTH CTR",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548432186",
            "telephone_number": "715-638-5100",
            "fax_number": "715-634-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13380 W TREPANIA RD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548432186",
            "telephone_number": "715-638-5100",
            "fax_number": "715-634-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5434 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532162298",
            "country_code": "US",
            "telephone_number": "414-442-5400",
            "fax_number": "414-442-5468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31848000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "730290003",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Paul Wheeler, MD
• Tamilyn D White, LPC, NCC
• Kay Marie Wilson, RDH
• Wesley Mark Wilson, LPC
• Janice Wilton, RDH
• Andrea Yancey, PA-C
• Melinda Young
• Randy A Young, CADCIII, NCAC II
• Sandra Zeznanski, RD CDE

• Family Medicine Physician in Hayward, WI
• Providers in Hayward, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.