Annie Lee

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2017-0813 Issued in NM

Practice address

530 De Moss St
Lordsburg, NM 88045-2618

Phone

(575) 542-8384

Fax

(575) 542-8387

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

No

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.

• Ton San Simon Health Center

  • Health Service Clinic/Center
  • Sells, AZ
  • NPI 1588834998

  TX

  Medicare reassignment Care Compare group NPD
• Ton Sells Hospital

  • Public Health or Welfare Agency
  • Sells, AZ
  • NPI 1487652426

  TX

  Medicare reassignment Care Compare group NPD
• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment NPD
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180

  NM

  Medicare reassignment NPD
• Ton San Xavier Health Center

  • Federal Public Health Clinic/Center
  • Tucson, AZ
  • NPI 1437157302

  TX

  Medicare reassignment NPD
• Ton Santa Rosa Health Center

  • Federal Public Health Clinic/Center
  • Sells, AZ
  • NPI 1770581639

  TX

  Medicare reassignment NPD
• DHHS-PHS, IHS Tucson Area, IHS Tucson Area Sells Hospital

  • Intermediate Emergency Medical Technician
  • Sells, AZ
  • NPI 1215936018
  Care Compare group
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD
• Hidalgo Medical Services

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1689881245
  NPD
• Pueblo Pintado Clinic

  • Clinic/Center
  • Cuba, NM
  • NPI 1023051133
  NPD
• Thoreau Clinic

  • Clinic/Center
  • Thoreau, NM
  • NPI 1679516702
  NPD
• Ton San Simon Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sells, AZ
  • NPI 1811165319
  NPD

Specialty

Family Practice

Education

University of South Alabama College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ton Sells Hospital 51 clinicians

Ton San Simon Health Center 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sells Hospital Hospital, Sells, AZ, CCN 030074

Merit-based Incentive Payment System (MIPS)

Final score

83.65 of 100Reported as group

Quality

68.3

Improvement activities

40

Cost

86.97

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154741452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-2369",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-8384",
            "fax_number": "575-542-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 W 11th St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880615124",
            "country_code": "US",
            "telephone_number": "575-388-1511",
            "fax_number": "575-313-8234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Tom Foy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bayard",
            "state": "NM",
            "postal_code": "880239767",
            "country_code": "US",
            "telephone_number": "575-537-5068",
            "fax_number": "575-537-5071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 N Pope St",
            "address_purpose": "LOCATION",
            "city": "Silver City",
            "state": "NM",
            "postal_code": "880615161",
            "country_code": "US",
            "telephone_number": "575-388-1511",
            "fax_number": "575-313-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iron Horse Enterprises
• Sara C Johnson, SLP
• Steven Cecil Jones, RPH
• Teressa M Koffler, SLP
• La Frontera Center, Inc. Dba la Frontera New Mexico, Inc.
• Leticia Guadalupe Lindsay, CSW
• Lordsburg Care Holdings LLC
• Lordsburg Health Facilities LP
• Ruth Marquez
• Yadalis Z Martinez, LMSW

• All providers in Lordsburg, NM
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.