LEXI RAE KOBISHOP DO
NPI 1790435386
Emergency Medicine in New London, WI

Q: What is Lexi Kobishop's NPI number?

The NPI number for Lexi Kobishop is 1790435386. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Lexi Kobishop's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Lexi Kobishop was last updated on July 17, 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 March 25, 2022PECOS Enrolled

1405 MILL ST, NEW LONDON, WI 54961(920) 531-2021(920) 531-2016 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Lexi Rae Kobishop Do NPPES

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

LEXI RAE KOBISHOP DO (NPI 1790435386) is an individual emergency medicine provider in New London, Wisconsin, licensed in Wisconsin (82156) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with St Lucie Medical Center, and maintains a secondary practice location in Citrus Springs.

NPPES Registry Identity

NPI1790435386

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameLEXI RAE KOBISHOPCredential: DO

Location Address1405 MILL STNew London, WI 54961-2155

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900

Phone(920) 531-2021

Fax(920) 531-2016

Sole ProprietorYes

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2022

Enumeration DateMarch 25, 2022

Last NPPES UpdateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1790435386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WI · 82156✔ Licensed in FL · --

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1405 MILL ST, New London, WI 54961

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Secondary Practice Location 1

Location 19111 N Mendoza WayCitrus Springs, FL 34434-5074 · Phone (920) 209-6950

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lexi Rae Kobishop Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608332309

PECOS Enrollment IDI20260803001668

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.

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100260

Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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 20

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

SIERRA RENEE KACZOCHA

Physical Therapist