Individual provider Active NPI

Katie M Lee, NP

  • Nurse Practitioner
  • Middletown, IN
National Provider Identifier
1346859980
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010221A Issued in IN
Practice address
602 N 5TH St
Middletown, IN 47356-1008
Phone
(765) 518-5000
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71010221A IN Primary
Nurse Practitioner 363L00000X 28178755A IN

Addresses

Primary practice location

602 N 5TH St
Middletown, IN 47356-1008

Mailing address

602 N 5TH St
Middletown, IN 47356-1008
Phone (765) 518-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20200909001964 IN Practitioner - Nurse Practitioner 7113345026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

602 N 5TH St
Middletown Family HLTH Partners
Middletown, IN 47356-1008
Phone (765) 518-5000

Hospital & facility affiliations

  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28178755AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Nurse Practitioner CurrentSince Dec 5, 2021 Accepting new patients
Henry County Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Henry County Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Heritage House of Richmond Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

349 W 1st St
Albany, IN 47320
Phone (765) 789-4541

415 E Main St
Cambridge City, IN 47327
Phone (765) 478-4541

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

602 N 5th St
Middletown, IN 47356
Phone (765) 354-2062

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

4870 E Jackson St
Muncie, IN 47303
Phone (765) 254-9717

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

Interoperability endpoints

  • Direct secure messaging: klee9@direct.iuhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1346859980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N 5TH ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473561008",
            "telephone_number": "765-518-5000",
            "fax_number": "765-518-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N 5TH ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473561008",
            "telephone_number": "765-518-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010221A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28178755A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, IN

Sources for this page

Verify at the official NPI Registry.