LEGACY PHYSICIAN GROUP, P.C.
NPI 1801800719
Specialist in Lansing, MI
About Legacy Physician Group, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY PHYSICIAN GROUP, P.C. (NPI 1801800719) is a healthcare organization registered as a specialist in Lansing, Michigan and active in the NPI registry since July 2006. The organization lists Susan Therese Fedewa, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legacy Physician Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Legacy Physician Group, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
Lansing, MI 48912
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Legacy Physician Group, P.C.'s NPI number?
The NPI number for Legacy Physician Group, P.C. is 1801800719. It was assigned to this organization in the NPPES registry on July 28, 2006.
Where is Legacy Physician Group, P.C. located?
Legacy Physician Group, P.C. is located at 1540 Lake Lansing Rd 102, Lansing, MI 48912. The listed phone number is (517) 913-3900.
What is Legacy Physician Group, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Legacy Physician Group, P.C. enrolled in Medicare?
Yes. Legacy Physician Group, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legacy Physician Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Legacy Physician Group, P.C.. A 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 the clinician's services. The largest specialties are Emergency Medicine (5), Family Practice (2) and Nurse Practitioner (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Legacy Physician Group, P.C. accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Legacy Physician Group, P.C. 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 Legacy Physician Group, P.C. was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Legacy Physician Group, P.c. · NPI 1801800719
Specialist organization in Lansing, Michigan. Organization record, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1801800719 (Entity type: Organization)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Susan Fedewa, PRESIDENT
## Practice location
- **Address:** 1540 LAKE LANSING RD, 102, Lansing, MI 48912-3756
- **Phone:** (517) 913-3900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (5), Family Practice (2), Nurse Practitioner (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801800719) · Data from the CMS NPPES public registry.