Individual provider Active NPI

Lisa Lee, PA

  • Medical Physician Assistant
  • New Albany, IN
National Provider Identifier
1225861636
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6230 Issued in IN
Practice address
200 New Albany PLZ
New Albany, IN 47150-4658
Phone
(812) 941-3080
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6230 IN
Medical Physician Assistant 363AM0700X 6230 IN Primary

Addresses

Primary practice location

200 New Albany PLZ
New Albany, IN 47150-4658

Mailing address

PO Box 632958
Cleveland, OH 44193-0028
Phone (615) 425-4200

Other practice location 1

708 S Brittain St
Shelbyville, TN 37160-4508
Phone (502) 727-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241220003431 TN Practitioner - Physician Assistant 5092242545 Reassigns benefits to 1 organization
I20250729000703 IN Practitioner - Physician Assistant 5092242545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-7146

9501 County Rd
Suite 403
Charlestown, IN 47111-8939
Phone (812) 256-2338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6230INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Oct 1, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

159 Omni Dr
Ste 1
McMinnville, TN 37110
Phone (931) 365-2175

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: lisa.lee@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1225861636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW ALBANY PLZ",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504658",
            "telephone_number": "812-941-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 S Brittain St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371604508",
            "country_code": "US",
            "telephone_number": "502-727-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LISA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "6230",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "6230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.