HEATHER LYNN LENSMIRE NP-C
NPI 1376105387
Nurse Practitioner - Family in Seymour, WI
About Heather Lynn Lensmire Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER LYNN LENSMIRE NP-C (NPI 1376105387) is an individual family provider in Seymour, Wisconsin, licensed in Wisconsin (9328-33) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains a secondary practice location in Seymour.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Heather Lynn Lensmire Np-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.
Medicare Billing Reassignments
3Medicare enrollment records show Heather Lensmire reassigns Medicare billing to 3 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
- 742 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 190 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 7
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEYMOUR, WI 54165
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 Heather Lensmire's NPI number?
The NPI number for Heather Lensmire is 1376105387. It was assigned to this individual provider in the NPPES registry on July 1, 2019.
Where is Heather Lensmire located?
Heather Lensmire practices at 958 Foote St, Seymour, WI 54165. The listed phone number is (920) 655-1268.
What is Heather Lensmire's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Heather Lensmire enrolled in Medicare?
Yes. Heather Lensmire 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 Heather Lensmire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Lensmire reassigns Medicare benefits to 3 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), Prevea Clinic, 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 Heather Lensmire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Lensmire accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Security Health Plan list Heather Lensmire 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 Heather Lensmire affiliated with any hospitals?
According to CMS data, Heather Lensmire is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Heather Lensmire was last updated on August 6, 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.
# Heather Lynn Lensmire, NP-C · NPI 1376105387
Family physician in Seymour, Wisconsin. Individual provider, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1376105387 (Entity type: Individual)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9328-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 958 FOOTE ST, Seymour, WI 54165-1044
- **Phone:** (920) 655-1268
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); Prevea Clinic, Inc. (NPI 1306869276, 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 2019
## Record status
- **NPPES last updated:** August 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1376105387) · Data from the CMS NPPES public registry.