Active NPI
Collette Rae Lessard, MD
- Obstetrics & Gynecology Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12836
- Practice address
- 1380 S Columbia Rd - Altru Family Medicine Center
Grand Forks, ND 58201 - Phone
- (701) 795-2000
- NPI assigned
- Jul 16, 2009
- Last updated
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12836 | ND | Primary |
Addresses
Primary practice location
1380 S Columbia Rd - Altru Family Medicine Center
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
Other names 1
- Dr. Collette Rae Lessard
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clessard63216@direct.directaltru.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of North Dakota School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
960 S Columbia Rd
Grand Forks, ND 58201-4030
Phone (701) 780-5400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12836 | ND | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Obstetrics & Gynecology | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Christian Unity Hospital Corporation | Past | Accepting new patients | |
| Cavalier Optometry Clinic LTD | Past | Accepting new patients |
Locations
201 E 3rd Ave S
Cavalier, ND 58220
Phone (701) 265-8338
301 Mountain St E
Ste A
Cavalier, ND 58220
Phone (701) 265-4196
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
960 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Altru 1300 Columbia
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Optometrist
- Cavalier, ND
- NPI 1730173238
-
dba Grafton Family Clinic
- Rural Health Clinic/Center
- Grafton, ND
- NPI 1558423665
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
dba Unity Medical Center
- Critical Access Hospital
- Grafton, ND
- NPI 1245216852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1619107380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 S COLUMBIA RD - ALTRU FAMILY MEDICINE CENTER",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-795-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSARD",
"first_name": "COLLETTE",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ND",
"license": "12836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clessard63216@direct.directaltru.org",
"affiliation": "N",
"endpointDescription": "Direct mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1380 S Columbia Rd - Altru Family Medicine Center",
"city": "Grand Forks",
"state": "ND",
"country_code": "US",
"postal_code": "58201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COLLETTE",
"last_name": "LESSARD",
"middle_name": "RAE",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.