DR. MARIE-LESLY EMMANUEL MD
NPI 1891375515
Family Medicine in Lake Station, IN

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
2490 CENTRAL AVE, LAKE STATION, IN 46405(210) 358-3888 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marie-lesly Emmanuel Md NPPES

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

DR. MARIE-LESLY EMMANUEL MD (NPI 1891375515) is an individual family medicine provider in Lake Station, Indiana, licensed in Indiana (01094805A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891375515
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIE-LESLY EMMANUELCredential: MD
Location Address2490 CENTRAL AVELake Station, IN 46405-2122
Mailing Address1889 W Windsor DrRound Lake, IL 60073-9709 · (224) 308-4614
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 8, 2021
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1891375515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01094805A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2490 CENTRAL AVE, Lake Station, IN 46405

Other Names 1

Other Name (5)Dr. Marie-lesly Emmanuel Md

Accepted 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

Dr. Marie-lesly Emmanuel Md 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 ID5799210233
PECOS Enrollment IDI20241121001042
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46405 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Social Worker
2490 CENTRAL AVE
LAKE STATION, IN 46405
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Pharmacist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Pediatrics
2490 CENTRAL AVE
LAKE STATION, IN 46405
Nurse Practitioner (Obstetrics & Gynecology)
2490 CENTRAL AVE
LAKE STATION, IN 46405
Obstetrics & Gynecology
2490 CENTRAL AVE
LAKE STATION, IN 46405
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405

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 Marie-lesly Emmanuel's NPI number?

The NPI number for Marie-lesly Emmanuel is 1891375515. It was assigned to this individual provider in the NPPES registry on April 8, 2021. The provider is also known as Dr. Marie-Lesly Emmanuel MD.

Where is Marie-lesly Emmanuel located?

Marie-lesly Emmanuel practices at 2490 Central Ave, Lake Station, IN 46405. The listed phone number is (210) 358-3888.

What is Marie-lesly Emmanuel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marie-lesly Emmanuel enrolled in Medicare?

Yes. Marie-lesly Emmanuel 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 Marie-lesly Emmanuel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Marie-lesly Emmanuel 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 Marie-lesly Emmanuel was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.