Individual provider Active NPI

Donna Marie Leydet, PA-C

  • Physician Assistant
  • Wausau, WI
National Provider Identifier
1598876427
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
621-023 Issued in WI
Practice address
3200 Westhill Dr
Suite 200
Wausau, WI 54401-4705
Phone
(715) 847-2019
Fax
(715) 847-2667
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 621-023 WI Primary

Addresses

Primary practice location

3200 Westhill Dr
Suite 200
Wausau, WI 54401-4705

Mailing address

3200 Westhill Dr
Suite 200
Wausau, WI 54401-4705
Phone (715) 847-2019

Other identifiers 2

IdentifierTypeStateIssuer
56842OtherWISECURITY HEALTH PLAN
42928900MedicaidWI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118001260 WI Practitioner - Physician Assistant 7113113929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
621WIMDPhysical Therapist
621-023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Timothy C. Romang MD SC PastSince Sep 1, 2019 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

425 Pine Ridge Blvd
Ste 300
Wausau, WI 54401
Phone (715) 847-0402

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

611 Veterans Pkwy
Woodruff, WI 54568
Phone (715) 358-8600

Interoperability endpoints

  • Direct secure messaging: dleydet15232@direct.aspirus.org

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1598876427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR",
            "address_2": "SUITE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014705",
            "telephone_number": "715-847-2019",
            "fax_number": "715-847-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR",
            "address_2": "SUITE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014705",
            "telephone_number": "715-847-2019",
            "fax_number": "715-847-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYDET",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "621-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "56842",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42928900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.