Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leigh Mae Provencher, MD

Individual provider Internal Medicine Physician · NPI 1063949741

Dr. Leigh Mae Provencher, MD is a Critical Care (Intensivists) in Appleton, Wisconsin. Qualified in 2017, 9 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1818 N Meade St
Appleton, WI 54911-3454
Phone: (920) 735-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Msc10 5550 1 University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 272-4661
  • 6550 Fannin, Houston Methodist Hospital, Houston, TX 77030 — (713) 441-5114

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 83019 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 83019-20 (WI)

Record details

NPI number1063949741
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2017
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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