Individual provider Active NPI

Beverly Lee, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1063169738
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
LEE-STUP6 Issued in NC
Practice address
1337 E Garrison Blvd
Gastonia, NC 28054-5127
Phone
(980) 229-2760
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15509 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X LEE-STUP6 NC Primary

Addresses

Primary practice location

1337 E Garrison Blvd
Gastonia, NC 28054-5127

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Other practice location 1

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, ID, IA, WA, CT, MD7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220621003255 NC Practitioner - Nurse Practitioner 8426437476 Reassigns benefits to 2 organizations
I20250128001536 FL Practitioner - Nurse Practitioner 8426437476 Reassigns benefits to 1 organization
I20250129002543 ID Practitioner - Nurse Practitioner 8426437476 Reassigns benefits to 4 organizations
I20250508003475 IA Practitioner - Nurse Practitioner 8426437476 Reassigns benefits to 1 organization
I20250512001938 WA Practitioner - Nurse Practitioner 8426437476 Reassigns benefits to 1 organization
I20251023001787 CT Practitioner - Nurse Practitioner 8426437476 Reassigns benefits to 1 organization
I20251023004715 MD Practitioner - Nurse Practitioner 8426437476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Charlotte, NC 28227
Phone (972) 449-0540

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (972) 449-0540

1000 36TH St
Vero Beach, FL 32960-4862
Phone (972) 449-0540

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (972) 449-0540

1026 A Ave NE
Unitypoint St Lukes Hospital
Cedar Rapids, IA 52402-5036
Phone (972) 449-0540

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (972) 449-0540

12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (972) 449-0540

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (972) 449-0540

16307 E Whirlaway LN
Veradale, WA 99037-8879
Phone (972) 449-0540

1660 60TH St
West Des Moines, IA 50266-7700
Phone (972) 449-0540

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (972) 449-0540

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (972) 449-0540

200 SE Hospital Ave
Suite 2346
Stuart, FL 34994-2346
Phone (972) 449-0540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540

202 N Division St
Auburn, WA 98001-4939
Phone (972) 449-0540

2134 Riverstone Loop
Ferndale, WA 98248-8024
Phone (972) 449-0540

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (972) 449-0540

350 N Grandview Ave
Unitypoint the Finley Hospital
Dubuque, IA 52001-6388
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

401 15TH Ave SE
Puyallup, WA 98372-3715
Phone (972) 449-0540

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (972) 449-0540

5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (972) 449-0540

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (972) 449-0540

7356 15TH Ave NW
Seattle, WA 98117-5401
Phone (972) 449-0540

7800 US Hwy 98 W
Miramar Beach, FL 32550-7228
Phone (972) 449-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15509CTMDPsychiatric/Mental Health Nurse Practitioner
LEE-STUP6NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Apr 14, 2025 Accepting new patients
St. Mary'S Hospital Inc CurrentSince Apr 14, 2025 Accepting new patients
Access Telecare, PLLC CurrentSince Sep 18, 2023 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 20, 2022 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Current Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Apr 14, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 20, 2022 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Apr 14, 2025 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients

Locations

20 York St
North Haven, CT 06510
Phone (203) 688-2433

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

501 Oak St
Nezperce, ID 83543
Phone (208) 937-2496

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

7356 15th Ave NW
Seattle, WA 98117

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1063169738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545127",
            "telephone_number": "980-229-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 LITCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BEVERLY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "15509",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "LEE-STUP6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.