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

Mr. Levi Jon Lawry-Shefchik

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265165682

Mr. Levi Jon Lawry-Shefchik is a Physician Assistant in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2024, 2 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

700 S Park St
Madison, WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-2976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 422 Lush Woods Trl, Verona, WI 53593-8169 — (608) 235-2260

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7961-23 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265165682
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 4, 2022
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address422 Lush Woods Trl, Verona, WI 53593-8169

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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