Individual provider Active NPI

Shelley Lee, D.O.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1306373915
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS22260 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
Fax
(239) 208-3994
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101023080 MI
Neurology Physician 2084N0400X DO225450 OR
Neurology Physician 2084N0400X OP61685241 WA
Neurology Physician 2084N0400X OS22260 FL Primary

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

988440 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (989) 859-2353

Other practice location 1

4242 Farnam St Ste 650
Omaha, NE 68131-2813
Phone (989) 859-2353

Other practice location 2

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 873-1500

Other practice location 3

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 487-1000

Other practice location 4

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, FL, WA, OR, CA, NH, ND, GA, NY9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20220801001523 NE Practitioner - NeurologyPractitioner - Epileptologists 9133499130 Reassigns benefits to 5 organizations
I20250510000071 FL Practitioner - NeurologyPractitioner - Hospitalist 9133499130 Reassigns benefits to 2 organizations
I20250702001470 WA Practitioner - Neurology 9133499130 Reassigns benefits to 1 organization
I20250702002694 OR Practitioner - Neurology 9133499130 Reassigns benefits to 2 organizations
I20250813001991 CA Practitioner - Neurology 9133499130 Reassigns benefits to 1 organization
I20250820001620 NH Practitioner - Neurology 9133499130 Reassigns benefits to 3 organizations
I20250826000941 ND Practitioner - Neurology 9133499130 Reassigns benefits to 1 organization
I20251007003900 GA Practitioner - Neurology 9133499130 Reassigns benefits to 1 organization
I20251231000208 NY Practitioner - Neurology 9133499130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

2015 S 110TH St
Omaha, NE 68144-3130
Phone (239) 208-2212

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4242 Farnam St
Suite 650
Omaha, NE 68131-2813
Phone (402) 559-8600

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 788-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101023080MIMDNeurology Physician
DO225450ORMDNeurology Physician
OP61685241WAMDNeurology Physician
24101CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Jun 19, 2025 Accepting new patients
Upson Medical Associates LLC CurrentSince Oct 1, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Jun 19, 2025 Accepting new patients
Nchmd Inc CurrentSince May 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Altru Health System CurrentSince May 29, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince May 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jul 29, 2025 Accepting new patients
Silverton Health Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 8, 2025 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Jul 8, 2025 Accepting new patients
County of Santa Clara CurrentSince Jul 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 19, 2025 Accepting new patients
Silverton Health CurrentSince Jun 19, 2025 Accepting new patients
Unmc Physicians CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jul 29, 2025 Accepting new patients
Silverton Health CurrentSince Jun 19, 2025 Accepting new patients
County of Santa Clara CurrentSince Jul 1, 2025 Accepting new patients
St John'S Medical Services PC CurrentSince Nov 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Aug 1, 2025 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Oct 15, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Nchmd, Inc CurrentSince May 1, 2025 Accepting new patients
Altru Health System CurrentSince May 29, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 8, 2025 Accepting new patients
Concord Hospital-Laconia CurrentSince Jul 8, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 19, 2025 Accepting new patients
The Nebraska Medical Center Past Accepting new patients

Locations (25 of 34)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

4242 Farnam St
Ste 650
Omaha, NE 68131
Phone (402) 502-8787

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: slee4072720@oc.providencedirect.org
  • Direct secure messaging: slee425549@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: slee405607@direct.nebraskamed.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1306373915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988440 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102",
            "telephone_number": "989-859-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4242 Farnam St Ste 650",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681312813",
            "country_code": "US",
            "telephone_number": "989-859-2353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Fairview St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811917",
            "country_code": "US",
            "telephone_number": "503-873-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "360-487-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHELLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101023080",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO225450",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "OP61685241",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS22260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.