Individual provider Active NPI

Vanessa Lee, DNP

  • Primary Care Nurse Practitioner
  • Novi, MI
National Provider Identifier
1104547108
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704351209 Issued in MI
Practice address
41100 Fox Run
Novi, MI 48377-4804
Phone
(248) 668-8650
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN-3762 HI
Primary Care Nurse Practitioner 363LP2300X 4704351209 MI Primary

Addresses

Primary practice location

41100 Fox Run
Novi, MI 48377-4804

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (248) 668-8650

Other practice location 1

56-119 Pualalea St
Kahuku, HI 96731-2052
Phone (808) 293-9231

Other practice location 2

901 N Macomb St
Monroe, MI 48162-3088
Phone (734) 243-2410

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptops

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250623000272 MI Practitioner - Nurse Practitioner 5294107082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medical Center of Michigan Inc 31 clinicians
Erickson Health Medical Group of Michigan, PC 8 clinicians

Practice addresses (Care Compare)

130 Medical Ctr Dr
Carleton, MI 48117-9461
Phone (734) 654-2169

41100 Fox Run
Novi, MI 48377-4804
Phone (248) 668-8650

8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802

Hospital & facility affiliations

  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Michigan,Inc CurrentSince Mar 29, 2025 Accepting new patients
Ko Olauloa Health Center CurrentSince Oct 1, 2022 Accepting new patients
Family Medical Center of Michigan,Inc Current Accepting new patients
Erickson Health Medical Group of Michigan PC CurrentSince Mar 16, 2026 Accepting new patients
Erickson Health Medical Group of Michigan, PC CurrentSince Mar 16, 2026 Accepting new patients
Ko Olauloa Health Center CurrentSince Oct 1, 2022 Accepting new patients
Ko Olauloa Health Center PastSince Oct 1, 2022 Accepting new patients

Locations

54-316 Kamehameha Hwy
Ste 6
Hauula, HI 96717
Phone (808) 293-9216

56-119 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9231

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

901 N Macomb St
Monroe, MI 48162
Phone (734) 243-2410

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

41100 Fox Run
Novi, MI 48377
Phone (248) 668-8600

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1104547108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "248-668-8650",
            "fax_number": "248-668-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41100 FOX RUN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774804",
            "telephone_number": "248-668-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56-119 Pualalea St",
            "address_purpose": "LOCATION",
            "city": "Kahuku",
            "state": "HI",
            "postal_code": "967312052",
            "country_code": "US",
            "telephone_number": "808-293-9231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Macomb St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481623088",
            "country_code": "US",
            "telephone_number": "734-243-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN-3762",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704351209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptops",
            "affiliation": "N",
            "address_1": "56-119 Pualalea St",
            "city": "Kahuku",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967312052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.