ALYSSA LEBANOWSKI PA-C
NPI 1407649080
Physician Assistant in Elkhorn, WI

Q: What is Alyssa Lebanowski's NPI number?

The NPI number for Alyssa Lebanowski is 1407649080. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Q: What is Alyssa Lebanowski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyssa Lebanowski was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment

W3985 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-2000 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, Nov 4, 2025, May 27, 2025 (3 updates tracked since 2025).

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About Alyssa Lebanowski Pa-c NPPES

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

ALYSSA LEBANOWSKI PA-C (NPI 1407649080) is an individual physician assistant in Elkhorn, Wisconsin and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Aurora Lakeland Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407649080

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALYSSA LEBANOWSKICredential: PA-C

Location AddressW3985 COUNTY ROAD NNElkhorn, WI 53121-4337

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 741-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 27, 2025

Last NPPES UpdateMay 11, 20263 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1407649080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

W3985 COUNTY ROAD NN, Elkhorn, WI 53121

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Other Identifiers 1

Medicaid100371310WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Alyssa Lebanowski 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 ID2264936236

PECOS Enrollment IDI20250922002215

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.

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520102

LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

DR. MARC ELLIOTT GOSNELL MD

Student in an Organized Health Care Education/Training Program