Active NPI
Spencer Darrell Lee, M.D.
- Specialist
- Port St Lucie, FL
National Provider Identifier
1053470252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 76643
- Practice address
- 525 NW Lake Whitney PL
Suite 206
Port St Lucie, FL 34986-1605 - Phone
- (772) 878-8885
- Fax
- (772) 878-5898
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 76643 | FL | Primary |
Addresses
Primary practice location
525 NW Lake Whitney PL
Suite 206
Port St Lucie, FL 34986-1605
Mailing address
525 NW Lake Whitney PL
Suite 206
Port St Lucie, FL 34986-1605
Phone (772) 878-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 76643 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Darrell Lee,M.D., P.a | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Port St Lucie, FL
- NPI 1871757815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1053470252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 NW LAKE WHITNEY PL",
"address_2": "SUITE 206",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861605",
"telephone_number": "772-878-8885",
"fax_number": "772-878-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NW LAKE WHITNEY PL",
"address_2": "SUITE 206",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861605",
"telephone_number": "772-878-8885",
"fax_number": "772-878-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SPENCER",
"middle_name": "DARRELL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME 76643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.