LUCY LEDESMA NP
NPI 1114395803
Nurse Practitioner - Adult Health in Grand Rapids, MI

Active since September 11, 2015PECOS EnrolledAccepts Medicare Assignment
310 LAFAYETTE AVE SE, STE 410, GRAND RAPIDS, MI 49503(616) 685-8200 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucy Ledesma Np NPPES

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

LUCY LEDESMA NP (NPI 1114395803) is an individual adult health provider in Grand Rapids, Michigan, licensed in Michigan (4704232926) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114395803
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLUCY LEDESMACredential: NP
Location Address310 LAFAYETTE AVE SE, STE 410Grand Rapids, MI 49503-4693
Mailing Address1900 44th St SeGrand Rapids, MI 49508-5008
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 11, 2015
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
NPI 1114395803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · 4704232926
310 LAFAYETTE AVE SE, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Lucy Fernandez

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

Lucy Ledesma Np 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 ID7810204922
PECOS Enrollment IDI20150922000297
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.

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Internal Medicine (Pulmonary Disease)
310 LAFAYETTE AVE SE, STE 415
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Clinic/Center (Ambulatory Surgical)
310 LAFAYETTE AVE SE, SUITE 200
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Internal Medicine (Gastroenterology)
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Psychologist (Counseling)
310 LAFAYETTE AVE SE, SUITE 325
GRAND RAPIDS, MI 49503
Internal Medicine (Gastroenterology)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Physician Assistant
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503

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 Lucy Ledesma's NPI number?

The NPI number for Lucy Ledesma is 1114395803. It was assigned to this individual provider in the NPPES registry on September 11, 2015. The provider is also known as Lucy Fernandez.

Where is Lucy Ledesma located?

Lucy Ledesma practices at 310 Lafayette Ave SE Ste 410, Grand Rapids, MI 49503. The listed phone number is (616) 685-8200.

What is Lucy Ledesma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lucy Ledesma enrolled in Medicare?

Yes. Lucy Ledesma 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 Lucy Ledesma accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Lucy Ledesma 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 Lucy Ledesma affiliated with any hospitals?

According to CMS data, Lucy Ledesma is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Lucy Ledesma was last updated on December 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.