DOLIS LEBREAULT APN
NPI 1184906554
Nurse Practitioner - Adult Health in Newark, NJ

Active since September 12, 2011PECOS EnrolledAccepts Medicare Assignment
96.71/100
CMS Quality Rating
275 CHESTNUT ST, NEWARK, NJ 07105(973) 589-5545 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dolis Lebreault Apn NPPES

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

DOLIS LEBREAULT APN (NPI 1184906554) is an individual adult health provider in Newark, New Jersey, licensed in New Jersey (26NJ00373500) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2011).

NPPES Registry Identity

NPI1184906554
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDOLIS LEBREAULTCredential: APN
Location Address275 CHESTNUT STNewark, NJ 07105-1570
Mailing Address275 Chestnut StNewark, NJ 07105-1570 · (973) 589-5545
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2011
Enumeration DateSeptember 12, 2011
Last NPPES UpdateJanuary 11, 2017
NPI 1184906554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00373500
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR11166500 (NJ)
275 CHESTNUT ST, Newark, NJ 07105

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

Dolis Lebreault Apn 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 ID1951552470
PECOS Enrollment IDI20121109000488
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
878 services611 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07105 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

96.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.46
Improvement Activities40
Cost99.08

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%506 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%669 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
275 CHESTNUT ST
NEWARK, NJ 07105
Internal Medicine (Gastroenterology)
275 CHESTNUT ST
NEWARK, NJ 07105
Internal Medicine (Gastroenterology)
275 CHESTNUT ST
NEWARK, NJ 07105
Clinic/Center (Ambulatory Surgical)
275 CHESTNUT ST
NEWARK, NJ 07105
Pharmacy
275 CHESTNUT ST
NEWARK, NJ 07105

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 Dolis Lebreault's NPI number?

The NPI number for Dolis Lebreault is 1184906554. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Dolis Lebreault located?

Dolis Lebreault practices at 275 Chestnut St, Newark, NJ 07105. The listed phone number is (973) 589-5545.

What is Dolis Lebreault's specialty?

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

Is Dolis Lebreault enrolled in Medicare?

Yes. Dolis Lebreault 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.

When was this NPI record last updated?

The NPPES record for Dolis Lebreault was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.