NICHOLAS LELITO PA-C
NPI 1265704795
Physician Assistant in Bismarck, ND

Active since January 30, 2012PECOS EnrolledAccepts Medicare Assignment
72.34/100
CMS Quality Rating
300 N 7TH ST, BISMARCK, ND 58501(701) 323-6000(701) 323-5918 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2018, Nov 18, 2015 (2 updates tracked since 2015).

About Nicholas Lelito Pa-c NPPES

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

NICHOLAS LELITO PA-C (NPI 1265704795) is an individual physician assistant in Bismarck, North Dakota, licensed in North Dakota (PAC0477) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265704795
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS LELITOCredential: PA-C
Location Address300 N 7TH STBismarck, ND 58501
Mailing AddressPo Box 2010Fargo, ND 58122-2484
Fax(701) 323-5918
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 30, 2012
Last NPPES UpdateDecember 28, 20182 updates tracked since enumeration
NPI 1265704795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ND · PAC0477
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
300 N 7TH ST, Bismarck, ND 58501

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

Nicholas Lelito Pa-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.

PECOS PAC ID941460141
PECOS Enrollment IDI20120326000630
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 13

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
218 services45 patients
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.
69 services53 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
54 services44 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.
52 services38 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services28 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
24 services15 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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.

72.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.74
Promoting Interoperability82
Improvement Activities40
Cost63.06

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.

Occupational Therapist
300 N 7TH ST
BISMARCK, ND 58501
Emergency Medicine
300 N 7TH ST
BISMARCK, ND 58501
Nurse Anesthetist, Certified Registered
300 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner
300 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Gerontology)
300 N 7TH ST
BISMARCK, ND 58501
Pharmacist
300 N 7TH ST
BISMARCK, ND 58501
Physical Therapist
300 N 7TH ST
BISMARCK, ND 58501
Hospitalist
300 N 7TH ST
BISMARCK, ND 58501

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 Nicholas Lelito's NPI number?

The NPI number for Nicholas Lelito is 1265704795. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Nicholas Lelito located?

Nicholas Lelito practices at 300 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-6000.

What is Nicholas Lelito's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Lelito enrolled in Medicare?

Yes. Nicholas Lelito 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 Nicholas Lelito accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Nicholas Lelito 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 Nicholas Lelito affiliated with any hospitals?

According to CMS data, Nicholas Lelito is affiliated with Chi St Alexius Health.

When was this NPI record last updated?

The NPPES record for Nicholas Lelito was last updated on December 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.