Active NPI
Nicholas Lefevre, DO
- Anesthesiology Physician
- Lititz, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OT019350
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT019350 | Other | PA | PA 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT019350 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racine Anesthesia Services, LLC | Anesthesiology | Current | Accepting new patients |
| Bellin Anesthesia Associates, S.C. | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
-
- Pain Medicine (Anesthesiology) Physician
- Green Bay, WI
- NPI 1558318410
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.