MISTY RAE LEDESMA NP-C
NPI 1154959591
Nurse Practitioner - Primary Care in Dowagiac, MI
About Misty Rae Ledesma Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY RAE LEDESMA NP-C (NPI 1154959591) is an individual primary care provider in Dowagiac, Michigan, licensed in Michigan (4204244777) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Misty Rae Ledesma Np-c 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.
Medicare Billing Reassignments
5Medicare enrollment records show Misty Ledesma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dowagiac, MI 49047
- Reassigned Medicare billing, Texas enrollment
- 21 clinicians in this Medicare group
Dowagiac, MI 49047
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Ascension Borgess Lee Hospital
- 83 clinicians in this Medicare group
Portage, MI 49024
- Reassigned Medicare billing, Michigan enrollment
- 465 clinicians in this Medicare group
Gobles, MI 49055
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Ascension Borgess Allegan Hospital
- 41 clinicians in this Medicare group
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeland Hospital, St Joseph
Acute Care Hospitals · St Joseph, MICorewell Health Watervliet Hospital
Acute Care Hospitals · Watervliet, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Misty Ledesma's NPI number?
The NPI number for Misty Ledesma is 1154959591. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Misty Ledesma located?
Misty Ledesma practices at 32652 Kno, Dowagiac, MI 49047. The listed phone number is (269) 782-4141.
What is Misty Ledesma's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Misty Ledesma enrolled in Medicare?
Yes. Misty 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.
Which organizations bill Medicare for Misty Ledesma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misty Ledesma reassigns Medicare benefits to 5 organizations: Pokagon Band Of Potawatomi Indians (Dowagiac, MI), Beacon Dowagiac Inc (Dowagiac, MI), Ascension Medical Group Promed (Portage, MI), Beacon Allegan Inc (Gobles, MI) and West Michigan Cancer Center (Kalamazoo, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Misty Ledesma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Misty Ledesma accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Misty 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 Misty Ledesma affiliated with any hospitals?
According to CMS data, Misty Ledesma is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.
When was this NPI record last updated?
The NPPES record for Misty Ledesma was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Misty Rae Ledesma, NP-C · NPI 1154959591
Primary Care physician in Dowagiac, Michigan. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1154959591 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4204244777 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 32652 KNO, Dowagiac, MI 49047-9805
- **Phone:** (269) 782-4141 · **Fax:** (269) 783-1236
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Pokagon Band Of Potawatomi Indians (NPI 1497833271, Dowagiac, MI); Beacon Dowagiac Inc (NPI 1194771030, Dowagiac, MI); Ascension Medical Group Promed (NPI 1063542165, Portage, MI); Beacon Allegan Inc (NPI 1306323043, Gobles, MI); West Michigan Cancer Center (NPI 1588778484, Kalamazoo, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 9, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1154959591) · Data from the CMS NPPES public registry.