KAREN LEA ELDEVICK MD NPI 1962493718

NPI Information

  • NPI: 1962493718
  • Provider Name: KAREN LEA ELDEVICK, MD
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 2820 ROOSEVELT ROAD
    MARINETTE, WI
    ZIP 54143
  • Phone: (715) 735-5225

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NPI Details

Karen Lea Eldevick, MD is an adult medicine family medicine in Marinette, WI. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Karen Lea Eldevick, MD NPI is 1962493718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2820 ROOSEVELT ROAD
MARINETTE, WI
ZIP 54143-834
Phone: (715) 735-5225
Fax: (715) 735-5388

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood test, clotting time (HCPCS:85610)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Automated urinalysis test (HCPCS:81003)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)

The enumeration date for this NPI number is 11/1/2005 and was last updated on 11/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301051670MICHIGANNo
2207QA0505XFamily MedicineAdult Medicine64279-20WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1KE051670OTHERMICHIGANBCBS OF MICHIGAN
22674383MEDICAIDMICHIGAN
3080036025OTHERMICHIGANRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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