Individual provider Active NPI

Marjorie Rebecca Lee, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1265085922
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407886 Issued in NY
Practice address
220 5TH Ave
New York, NY 10001-7708
Phone
(201) 500-4903
NPI assigned
Jul 22, 2019
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018044 FL
Family Nurse Practitioner 363LF0000X 142395 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11018044 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407886 NY Primary

Addresses

Primary practice location

220 5TH Ave
New York, NY 10001-7708

Mailing address

220 5TH Ave
11TH Floor Suite 4
New York, NY 10001-7708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20241014004804 FL Practitioner - Nurse Practitioner 7214469311 Reassigns benefits to 1 organization
I20260313001485 NY Practitioner - Nurse Practitioner 7214469311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Palliative Services LLCGroup PAC ID 9234674375, 8 clinicians

Practice addresses (Care Compare)

Pensacola, FL 32504
Phone (850) 316-4882

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142395TXMDFamily Nurse Practitioner
11018044FLMDPsychiatric/Mental Health Nurse Practitioner
407886NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Palliative Services, LLC CurrentSince Aug 9, 2024 Accepting new patients
Rappore Medicine PC CurrentSince Jan 28, 2026 Accepting new patients
Inpresent Psychiatry PC CurrentSince Jan 28, 2026 Accepting new patients

Locations

2190 Airport Blvd
Ste 2850A
Pensacola, FL 32504
Phone (850) 316-4882

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

220 5th Ave
Fl 11
New York, NY 10001
Phone (212) 564-0480

442 5th Ave
#1983
New York, NY 10018
Phone (212) 564-0480

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1265085922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE",
            "address_2": "11TH FLOOR SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017708",
            "telephone_number": "201-500-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARJORIE",
        "middle_name": "REBECCA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018044",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "142395",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11018044",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.