Individual provider Active NPI

Leah Toppel Nelson, PA

  • Dermatology Physician
  • Brookfield, WI
National Provider Identifier
1912239658
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4183 Issued in WI
Practice address
13800 W North Ave Ste 100
Brookfield, WI 53005-4977
Phone
(262) 754-4488
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085003533 IL
Dermatology Physician 207N00000X 4183 WI Primary

Addresses

Primary practice location

13800 W North Ave Ste 100
Brookfield, WI 53005-4977

Mailing address

13800 W North Ave Ste 100
Brookfield, WI 53005-4977
Phone (262) 754-4488

Other practice location 1

363 W Erie St
Suite 350
Chicago, IL 60654-6903
Phone (312) 995-1955

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
I20171031001787 WI Practitioner - Physician Assistant 2860768165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Dermatologists SCGroup PAC ID 8123065794, 12 clinicians

Practice addresses (Care Compare)

13800 W N Ave
Suite 100
Brookfield, WI 53005-4977
Phone 2627544488119

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
90.63
Improvement activities
40
Cost
82.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4183WIMDDermatology Physician
085003533ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Dermatologists, SC Dermatology CurrentSince Oct 11, 2017 Accepting new patients
Affiliated Dermatologists SC Dermatology Past Accepting new patients
Medical Dermatology Associates of Chicago, LTD Dermatology PastSince Mar 1, 2015 Accepting new patients

Locations

13800 W North Ave
Ste 100
Brookfield, WI 53005
Phone (262) 754-4488

N96W17035 Division Rd
Ste A
Germantown, WI 53022
Phone (262) 754-4488

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912239658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054977",
            "telephone_number": "262-754-4488",
            "fax_number": "262-754-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054977",
            "telephone_number": "262-754-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 W Erie St",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606546903",
            "country_code": "US",
            "telephone_number": "312-995-1955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LEAH",
        "middle_name": "TOPPEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003533",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.