DR. LEIGH MAE PROVENCHER M.D.
NPI 1063949741
Internal Medicine - Critical Care Medicine in Appleton, WI

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 735-7645 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, May 15, 2024, Jun 18, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Leigh Mae Provencher M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEIGH MAE PROVENCHER M.D. (NPI 1063949741) is an individual critical care medicine provider in Appleton, Wisconsin, licensed in Wisconsin (83019) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063949741
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. LEIGH MAE PROVENCHERCredential: M.D.
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 735-7645
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 12, 2017
Last NPPES UpdateMay 22, 20265 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1063949741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in WI · 83019
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 83019-20 (WI)
1818 N MEADE ST, Appleton, WI 54911

Other Names 1

Other Name (5)Leigh Mae Joanne Gisele Rosa Provencher

Secondary Practice Locations 2

Location 1Msc10 5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4661 · Fax (505) 272-4601
Location 26550 Fannin, Houston Methodist Hospital, SM 1001Houston, TX 77030 · Phone (713) 441-5114 · Fax (713) 790-3023

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Leigh Mae Provencher M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759708886
PECOS Enrollment IDI20240530000316
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leigh Mae Provencher's NPI number?

The NPI number for Leigh Mae Provencher is 1063949741. It was assigned to this individual provider in the NPPES registry on May 12, 2017. The provider is also known as Leigh Mae Joanne Gisele Rosa Provencher.

Where is Leigh Mae Provencher located?

Leigh Mae Provencher practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 735-7645.

What is Leigh Mae Provencher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Leigh Mae Provencher enrolled in Medicare?

Yes. Leigh Mae Provencher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leigh Mae Provencher accept?

Health plans from CareSource (Common Ground Healthcare) list Leigh Mae Provencher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leigh Mae Provencher affiliated with any hospitals?

According to CMS data, Leigh Mae Provencher is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Leigh Mae Provencher was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.