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IVY E LEASUM NP
NPI 1295925824
Nurse Practitioner - Family in De Pere, WI

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
320 N WISCONSIN ST, DE PERE, WI 54115(920) 327-7056 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, Oct 31, 2016 (2 updates tracked since 2016).

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

NPI1295925824
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIVY E LEASUMCredential: NP
Location Address320 N WISCONSIN STDe Pere, WI 54115-2737
Mailing Address320 N Wisconsin StDe Pere, WI 54115-2737 · (920) 327-7056
Phone(920) 327-7056
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 30, 2007
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1295925824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 3141-33
320 N WISCONSIN ST, De Pere, WI 54115
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Accepted Insurance

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

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.

PECOS PAC ID7012000383
PECOS Enrollment IDI20070831000178
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

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 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.
22 services22 patients

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, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician 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.

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.

Other Providers at the Same Location NPPES

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

ROBERT G BRADY PT
Physical Therapist (Orthopedic)
320 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 857-1622

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.

What insurance does Ivy Leasum accept?

Health plans from Anthem Blue Cross and Blue Shield 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.