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LESLEY S DISHAW PAC
NPI 1740262856
Physician Assistant in Florence, WI

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
1010 OLIVE AVE, FLORENCE, WI 54121(800) 380-7411(715) 528-5592 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2020, Mar 6, 2020 (2 updates tracked since 2020).

About Lesley S Dishaw Pac NPPES

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

LESLEY S DISHAW PAC (NPI 1740262856) is an individual physician assistant in Florence, Wisconsin, licensed in Michigan (5601003358) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Dickinson County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740262856
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLESLEY S DISHAWCredential: PAC
Location Address1010 OLIVE AVEFlorence, WI 54121-0380
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229
Phone(800) 380-7411
Fax(715) 528-5592
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 15, 2005
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1740262856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MI · 5601003358✔ Licensed in WI · 1236023
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.
1010 OLIVE AVE, Florence, WI 54121
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Secondary Practice Locations 2

Location 1106 S School RdDaggett, MI 49821-8555 · Phone (906) 753-2812 · Fax (906) 753-2716
Location 2440 Woodward AveIron Mountain, MI 49801-4631 · Phone (906) 776-9040 · Fax (906) 774-5950

Other Identifiers 3

Other0852210330MI · Bcbs Mi
Medicaid41927000WI
Other970028140MI · Rr Medicare

Accepted Insurance

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

Lesley S Dishaw Pac 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 ID6204917768
PECOS Enrollment IDI20080123000014
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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services116 patients
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.
76 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services30 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230055
Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County
Emergency services Birthing friendly

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231318
Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County
Emergency services

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54121 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$21.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$113.78 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims1,680 services$0.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers28 claims28 services$182.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers21 claims21 services$24.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MRS. SHELLY RAE BUCH FNP
Nurse Practitioner (Family)
1010 OLIVE AVE
FLORENCE, WI 54121
Florence County (715) 528-4775
BELLIN HEALTH IRON MOUNTAIN INC
Clinic/Center (Rural Health)
1010 OLIVE AVE
FLORENCE, WI 54121
Florence County (800) 380-7411
DICKINSON COUNTY HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
1010 OLIVE AVE
FLORENCE, WI 54121
Florence County (800) 380-7411
DR. CHARLENE M GREENE D.O.
Family Medicine
1010 OLIVE AVE
FLORENCE, WI 54121
Florence County (715) 528-4775

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 Lesley Dishaw's NPI number?

The NPI number for Lesley Dishaw is 1740262856. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Lesley Dishaw located?

Lesley Dishaw practices at 1010 Olive Ave, Florence, WI 54121. The listed phone number is (800) 380-7411.

What is Lesley Dishaw's specialty?

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

Is Lesley Dishaw enrolled in Medicare?

Yes. Lesley Dishaw 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 Lesley Dishaw accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Lesley Dishaw 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 Lesley Dishaw affiliated with any hospitals?

According to CMS data, Lesley Dishaw is affiliated with Dickinson County Memorial Hospital, Aspirus Iron River Hospital & Clinics, Inc and Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lesley Dishaw was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.