DAT THANH LE (FNP-C) – Nurse Practitioner, NPI 1194397265
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
Provider Addresses for DAT THANH LE (FNP-C)
800 Riverside Dr
Waupaca, WI 549811943
Phone: (715) 258-1000
Type: Location
2555 ENTERPRISE RD STE 3
CLEARWATER, FL 337631104
Phone: (813) 692-6091
Fax: (813) 423-6556
Type: Mailing
1148 CHRISTIANA XING
LAWRENCEVILLE, GA 300437026
Phone: (478) 244-4306
Type: Mailing
2129 FRIENDSHIP RD
FLOWERY BRANCH, GA 30542
Phone: (678) 782-6920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210928000956 | I | Nurse Practitioner | GA | TBD |
| I20240125000834 | I | Nurse Practitioner | FL | TBD |
| I20250520000496 | I | Nurse Practitioner | ND | TBD |
| I20250613000519 | I | Nurse Practitioner | WI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54981)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NJ | |
| Nurse Practitioner | GA | |
| Internal Medicine, Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Emergency Medicine | FL | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine, Family Practice | GA |
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