Individual provider Active NPI

Nicholas Lefevre, DO

  • Anesthesiology Physician
  • Lititz, PA
National Provider Identifier
1730749599
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OT019350 Issued in PA
Practice address
1500 Highlands Dr
Lititz, PA 17543-7694
Phone
(717) 625-5668
NPI assigned
Jun 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OT019350 PA Primary

Addresses

Primary practice location

1500 Highlands Dr
Lititz, PA 17543-7694

Mailing address

2778 Cobblestone LN
Lancaster, PA 17601-3304
Phone (312) 730-3555

Other identifiers 1

IdentifierTypeStateIssuer
OT019350OtherPAPA TRAINING LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830004218 WI Practitioner - Anesthesiology 2567825037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Campbell Univ School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Racine Anesthesia Services LLCGroup PAC ID 8628103777, 81 clinicians

Practice addresses (Care Compare)

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

Hospital & facility affiliations

  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT019350PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Anesthesia Services, LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Bellin Anesthesia Associates, S.C. Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1550 Midway Pl
Ste 100
Menasha, WI 54952
Phone (214) 726-6042

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

Bin 88848
Milwaukee, WI 53288

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

Organizations & group practices 3

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 2

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1730749599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 COBBLESTONE LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013304",
            "telephone_number": "312-730-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HIGHLANDS DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437694",
            "telephone_number": "717-625-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OT019350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA TRAINING LICENSE",
            "identifier": "OT019350",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.