Individual provider Active NPI

Deborah R Lee, NP

  • Acute Care Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1154639748
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704205273 Issued in MI
Practice address
1521 Gull Rd Ste 130
Kalamazoo, MI 49048-1640
Phone
(269) 345-1161
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704205273 MI
Acute Care Nurse Practitioner 363LA2100X 4704205273 MI Primary

Addresses

Primary practice location

1521 Gull Rd Ste 130
Kalamazoo, MI 49048-1640

Mailing address

1521 Gull Rd Ste 130
Kalamazoo, MI 49048-1640
Phone (269) 345-1161

Other practice location 1

1500 East Medical Center Drive
3rd floor Cardiovascular Center Recp C
Ann Arbor, MI 48109-5864
Phone (888) 287-1082

Other practice location 2

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

Other practice location 3

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

Other identifiers 2

IdentifierTypeStateIssuer
1003822412OtherMIBCBSM - BMH
1154639748MedicaidMI

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
I20101014000300 MI Practitioner - Nurse Practitioner 9537351176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Henry Ford Wyandotte HospitalGroup PAC ID 2264334499, 194 clinicians
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 284-2400

28100 Grand River Ave
Farmington Hills, MI 48336-5970

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704205273MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince Sep 1, 2010 Accepting new patients
Promed Healthcare CurrentSince Apr 1, 2013 Accepting new patients
Henry Ford Wyandotte Hospital Nurse Practitioner CurrentSince Apr 9, 2024 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 9, 2026 Accepting new patients
Ascension Borgess Hospital Nurse Practitioner CurrentSince Sep 1, 2010 Accepting new patients
Ascension Medical Group Promed Acute Care CurrentSince Apr 1, 2013 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Apr 9, 2024 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

1521 Gull Rd
Ste 130
Kalamazoo, MI 49048
Phone (269) 345-1161

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: dlee984810@direct.hfhs.org
  • Direct secure messaging: dlee3530342@epic00.corewelldirect.org

Organizations & group practices 11

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1154639748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GULL RD STE 130",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481640",
            "telephone_number": "269-345-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GULL RD STE 130",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481640",
            "telephone_number": "269-345-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 East Medical Center Drive",
            "address_2": "3rd floor Cardiovascular Center Recp C",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095864",
            "country_code": "US",
            "telephone_number": "888-287-1082",
            "fax_number": "734-232-5021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Biddle Ave",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481924668",
            "country_code": "US",
            "telephone_number": "734-246-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704205273",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704205273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BMH",
            "identifier": "1003822412",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154639748",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.