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

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: November 01, 2026.

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
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

Secondary Practice Location 1

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

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)

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Lexi Kobishop reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 56 clinicians in this Medicare group
Emergency Medicine
800 RIVERSIDE DR
Waupaca, WI 54981
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1013995521 (Wisconsin)
  • 110 clinicians in this Medicare group
General Acute Care Hospital
1818 N MEADE ST
Appleton, WI 54911
  • Reassigned Medicare billing, Wisconsin enrollment
  • 35 clinicians in this Medicare group
General Acute Care Hospital
130 2ND ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 70 clinicians in this Medicare group
Critical Access
225 MEMORIAL DRIVE
Berlin, WI 54923
  • Reassigned Medicare billing, Wisconsin enrollment
  • 55 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.

Hospital Affiliations CMS Care Compare 2

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

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

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.

Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Nurse Practitioner (Family)
1405 MILL ST
NEW LONDON, WI 54961
Nurse Practitioner
1405 MILL ST
NEW LONDON, WI 54961
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Occupational Therapist
1405 MILL ST
NEW LONDON, WI 54961
Anesthesiology
1405 MILL ST
NEW LONDON, WI 54961
Physical Therapy Assistant
1405 MILL ST
NEW LONDON, WI 54961
Pharmacist
1405 MILL ST
NEW LONDON, WI 54961

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 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.

Where is Lexi Kobishop located?

Lexi Kobishop practices at 1405 Mill St, New London, WI 54961. The listed phone number is (920) 531-2021.

What is Lexi Kobishop's specialty?

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

Is Lexi Kobishop enrolled in Medicare?

Yes. Lexi Kobishop is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lexi Kobishop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lexi Kobishop reassigns Medicare benefits to 6 organizations: Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Regional Medical Center - Appleton, Inc. (Appleton, WI), Thedacare Regional Medical Center-Neenah, Inc. (Neenah, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, WI) and 1 more organization, listed in the Medicare section above. 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 Lexi Kobishop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lexi Kobishop accept?

Health plans from CareSource (Common Ground Healthcare) list Lexi Kobishop 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 Lexi Kobishop affiliated with any hospitals?

According to CMS data, Lexi Kobishop is affiliated with St Lucie Medical Center and Thedacare Medical Center - New London.

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.