Michael J. Lee, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2012-0040 Issued in NM

Practice address

3 Mora Valley Clinic Rd
Mora, NM 87732-2202

Phone

(877) 271-2201

Fax

(575) 387-9006

NPI assigned

Sep 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Mora Valley Community Health Services IncGroup PAC ID 4486541901, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
• Guadalupe County Hospital Hospital, Santa Rosa, NM, CCN 320779

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sunrise Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, NM
  • NPI 1164055927

  NM

  Medicare reassignment Care Compare group
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1780689034

  NM

  Medicare reassignment NPD
• Guadalupe County

  • Emergency Care Clinic/Center
  • Santa Rosa, NM
  • NPI 1346249968

  NM

  Medicare reassignment NPD
• Mora Valley Community Health Services Inc

  • Community Health Clinic/Center
  • Mora, NM
  • NPI 1508840117
  Care Compare group NPD (past)
• Mora Valley Community Health Services, Inc.

  • Student Health Clinic/Center
  • Mora, NM
  • NPI 1396104964
  Care Compare group
• Sunrise Clinics

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1194408625
  Care Compare group
• Sunrise Clinics

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NM
  • NPI 1376326942
  Care Compare group
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1285899054
  NPD
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Wagon Mound, NM
  • NPI 1538324223
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

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

• Guadalupe County

  • Emergency Care Clinic/Center
  • Santa Rosa, NM
  • NPI 1346249968

  Hospital

  Care Compare affiliation
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1295085157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320209",
            "telephone_number": "877-271-2201",
            "fax_number": "505-387-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MORA VALLEY CLINIC RD",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877322202",
            "telephone_number": "877-271-2201",
            "fax_number": "575-387-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2012-0040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92730329",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica Rose Martinez, FNP-BC
• Tyler E Martinez, DDS
• Mora Independent School
• Mora Valley Community Health Services

• All providers in Mora, NM
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.