IVY E LEASUM NP
NPI 1295925824
Nurse Practitioner - Family in De Pere, WI
About Ivy E Leasum Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY E LEASUM NP (NPI 1295925824) is an individual family provider in De Pere, Wisconsin, licensed in Wisconsin (3141-33) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Ivy E Leasum 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ivy Leasum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 190 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 216 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Ivy Leasum's NPI number?
The NPI number for Ivy Leasum is 1295925824. It was assigned to this individual provider in the NPPES registry on July 30, 2007.
Where is Ivy Leasum located?
Ivy Leasum practices at 320 N Wisconsin St, De Pere, WI 54115. The listed phone number is (920) 327-7056.
What is Ivy Leasum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ivy Leasum enrolled in Medicare?
Yes. Ivy Leasum 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 Ivy Leasum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Leasum reassigns Medicare benefits to 4 organizations: Prevea Clinic, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), St. Clare Memorial Hospital, Inc. (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). 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 Ivy Leasum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivy Leasum accept?
Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Ivy Leasum 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 Ivy Leasum affiliated with any hospitals?
According to CMS data, Ivy Leasum is affiliated with St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for Ivy Leasum was last updated on April 22, 2024. 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.
# Ivy E Leasum, NP · NPI 1295925824
Family physician in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since July 30, 2007.
## Identity
- **NPI:** 1295925824 (Entity type: Individual)
- **Enumerated:** July 30, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3141-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 N WISCONSIN ST, De Pere, WI 54115-2737
- **Phone:** (920) 327-7056
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Prevea Clinic, Inc. (NPI 1306869276, Green Bay, WI); St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Clare Memorial Hospital, Inc. (NPI 1093173791, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295925824) · Data from the CMS NPPES public registry.