DR. JOLIE DENISE LEGATE OD
NPI 1417615600
Optometrist in Mequon, WI
About Dr. Jolie Denise Legate Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOLIE DENISE LEGATE OD (NPI 1417615600) is an individual optometrist in Mequon, Wisconsin, licensed in Wisconsin (3720-35) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2020).
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 (PECOS)
Dr. Jolie Denise Legate Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jolie Legate reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mequon, WI 53092
- Reassigned Medicare billing, Wisconsin enrollment
- 102 clinicians in this Medicare group
Gurnee, IL 60031
- Reassigned Medicare billing, Illinois enrollment
- 114 clinicians in this Medicare group
Apache Junction, AZ 85119
- Reassigned Medicare billing, Arizona enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53092 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 2
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 Jolie Legate's NPI number?
The NPI number for Jolie Legate is 1417615600. It was assigned to this individual provider in the NPPES registry on December 4, 2021.
Where is Jolie Legate located?
Jolie Legate practices at 10800 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 241-4848.
What is Jolie Legate's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jolie Legate enrolled in Medicare?
Yes. Jolie Legate is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jolie Legate's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jolie Legate reassigns Medicare benefits to 3 organizations: Myeyedr Optometry Of Wisconsin, LLC (Mequon, WI), Myeyedr Optometry Of Illinois, LLC (Gurnee, IL) and Complete Vision Care PLLC (Apache Junction, AZ). 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 Jolie Legate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jolie Legate accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Blue Cross Blue Shield of Arizona and 13 other insurers list Jolie Legate 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.
When was this NPI record last updated?
The NPPES record for Jolie Legate was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jolie Denise Legate, OD · NPI 1417615600
Optometrist provider in Mequon, Wisconsin. Individual provider, active in the CMS NPPES registry since December 4, 2021.
## Identity
- **NPI:** 1417615600 (Entity type: Individual)
- **Enumerated:** December 4, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3720-35 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10800 N PORT WASHINGTON RD, Mequon, WI 53092-5007
- **Phone:** (262) 241-4848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Myeyedr Optometry Of Wisconsin, LLC (NPI 1164984019, Mequon, WI); Myeyedr Optometry Of Illinois, LLC (NPI 1295313203, Gurnee, IL); Complete Vision Care PLLC (NPI 1235823394, Apache Junction, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** December 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417615600) · Data from the CMS NPPES public registry.