Active NPI
Luke P Lentscher, PA-C
- Surgical Physician Assistant
- Beaver Dam, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3061-23
- Practice address
- 250 Corporate Dr
Beaver Dam, WI 53916 - Phone
- (920) 887-6650
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 085003078 | IL | |
| Surgical Physician Assistant | 363AS0400X | 3061-23 | WI | Primary |
Addresses
Primary practice location
250 Corporate Dr
Beaver Dam, WI 53916
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Other practice location 1
100 Spalding Dr
3rd Floor
Naperville, IL 60540-6550
Phone (630) 355-8000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | llentscher331539@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Corporate Dr
Beaver Dam, WI 53916-3116
Phone (920) 887-3102
360 S Mountin Dr
Mayville, WI 53050-1498
Phone (920) 387-2111
608 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-6800
620 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-6531
Hospital & facility affiliations
- Waupun Memorial Hospital
- SSM Health St Agnes Hospital-Fond Du Lac
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3061-23 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Agnesian Healthcare, Inc | Past | Accepting new patients |
Locations
130 Corporate Dr
Beaver Dam, WI 53916
Phone (920) 877-3102
250 Corporate Dr
Beaver Dam, WI 53916
Phone (920) 887-6650
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
145 N Main St
Fond du Lac, WI 54935
Phone (920) 926-4660
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
835 Parkside St
Ripon, WI 54971
Phone (920) 745-3520
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
608 W Brown St
Waupun, WI 53963
Phone (920) 324-6800
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
- Community/Retail Pharmacy
- Waupun, WI
- NPI 1366417917
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fond Du Lac, WI
- NPI 1841320884
-
- Family Medicine Physician
- Watertown, WI
- NPI 1003383027
-
- Obstetrics & Gynecology Physician
- Watertown, WI
- NPI 1225412265
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Medicare Defined Swing Bed Hospital Unit
- Waupun, WI
- NPI 1528046737
-
- Critical Access Hospital
- Waupun, WI
- NPI 1548248644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1609065085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E DIVISION ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CORPORATE DR",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "53916",
"telephone_number": "920-887-6650"
}
],
"practiceLocations": [
{
"address_1": "100 Spalding Dr",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605406550",
"country_code": "US",
"telephone_number": "630-355-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENTSCHER",
"first_name": "LUKE",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085003078",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "3061-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "llentscher331539@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "llentscher331539@direct-ehr-ssmhc.com",
"address_1": "250 Corporate Dr",
"city": "Beaver Dam",
"state": "WI",
"country_code": "US",
"postal_code": "53916",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "250 Corporate Dr",
"city": "Beaver Dam",
"state": "WI",
"country_code": "US",
"postal_code": "53916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.