DOLIS LEBREAULT (APN) – Adult Health Nurse Practitioner, NPI 1184906554

DOLIS LEBREAULT (APN) is a healthcare provider. based in Newark, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NR11166500 (NJ). The NPI Number for DOLIS LEBREAULT (APN) is 1184906554

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DOLIS LEBREAULT (APN)
NPI
1184906554
Phone
(973) 589-5545
Address
275 CHESTNUT ST
Enumeration Date
12 September 2011
Last Update Date
11 January 2017

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
9735895545
Graduation Year
2011 (15 years ago)
PAC ID
1951552470
Group Practice PAC ID
2668447939
Professional Enrollment ID
I20121109000488
Address ID
NJ071051570NE275XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

7,574 NURSE PRACTITIONER in NJ

Provider Addresses for DOLIS LEBREAULT (APN)

  • 275 CHESTNUT ST

    NEWARK, NJ 071051570

    Phone: (973) 589-5545

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $434.

Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: IRONWOOD PHARMACEUTICALS, INC ($255).

Total Amount

$434

General + Research + Ownership

Payments

28

Total payment records

General Amount

$434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121109000488INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes897621$0
99213Established patient office or other outpatient visit, 20-29 minutes5349$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 07105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668447939View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
Nurse PractitionerNJ
G A S T R O E N T E R O L O G YNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DOLIS LEBREAULT (APN)?
DOLIS LEBREAULT (APN) — NPI 1184906554 — is the standard way to identify this listing.
Does CMS list DOLIS LEBREAULT (APN) as active?
Yes — DOLIS LEBREAULT (APN) is active in the NPI listing used on this page.
What is DOLIS LEBREAULT (APN)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for DOLIS LEBREAULT (APN) here. Clinical services aligned with this taxonomy classification.
What address line appears for DOLIS LEBREAULT (APN)?
DOLIS LEBREAULT (APN)'s geographic hint is Newark, New Jersey in our summary view.
Is the information about DOLIS LEBREAULT (APN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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