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LISA MARIE LEBLANC APNP
NPI 1215494398
Nurse Practitioner - Women's Health in Wauwatosa, WI

Active since February 26, 2019PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3040 N 117TH ST STE 200, WAUWATOSA, WI 53222(414) 778-0070 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2019, Feb 26, 2019 (2 updates tracked since 2019).

About Lisa Marie Leblanc Apnp NPPES

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

LISA MARIE LEBLANC APNP (NPI 1215494398) is an individual women's health provider in Wauwatosa, Wisconsin, licensed in Wisconsin (9091-33) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215494398
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLISA MARIE LEBLANCCredential: APNP
Location Address3040 N 117TH ST STE 200Wauwatosa, WI 53222-4129
Mailing Address3040 N 117th St Ste 200Wauwatosa, WI 53222-4129 · (414) 778-0070
Phone(414) 778-0070
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 26, 2019
Last NPPES UpdateMarch 7, 20192 updates tracked since enumeration
✔ NPI 1215494398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WI · 9091-33
3040 N 117TH ST STE 200, Wauwatosa, WI 53222
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Lisa Marie Leblanc Apnp 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 ID7214277342
PECOS Enrollment IDI20190327001202
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.

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES

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

DR. STEPHEN PATRICK MCAVOY MD
Obstetrics & Gynecology
3040 N 117TH ST STE 200
WAUWATOSA, WI 53222
Milwaukee County (414) 778-0070

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 Lisa Leblanc's NPI number?

The NPI number for Lisa Leblanc is 1215494398. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Lisa Leblanc located?

Lisa Leblanc practices at 3040 N 117th St Ste 200, Wauwatosa, WI 53222. The listed phone number is (414) 778-0070.

What is Lisa Leblanc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Lisa Leblanc enrolled in Medicare?

Yes. Lisa Leblanc 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 Lisa Leblanc accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Lisa Leblanc 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 Lisa Leblanc affiliated with any hospitals?

According to CMS data, Lisa Leblanc is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Leblanc was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.