NPIMap

Individual provider Active NPI

Angie K Lee, MD

  • Internal Medicine Physician
  • Bellingham, WA
National Provider Identifier
1386788784
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60061916 Issued in WA
Practice address
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225-1945
Phone
(360) 715-4186
Fax
(360) 715-4187
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD60061916 WA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD60061916 WA
Internal Medicine Physician 207R00000X MD60061916 WA Primary

Addresses

Primary practice location

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225-1945

Mailing address

1115 SE 164TH Ave
Dept 364
Vancouver, WA 98683-9324
Phone (360) 715-4186

Other practice location 1

2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-7588

Other practice location 2

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008002683 WA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 1355491713 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Christian Health Care Center Nursing home, Lynden, WA, CCN 505406
  • Mt Baker Care Center Nursing home, Bellingham, WA, CCN 505376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60061916WAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Hospice and Palliative Medicine Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Peacehealth Internal Medicine CurrentSince Nov 3, 2014 Accepting new patients
Peacehealth CurrentSince Nov 3, 2014 Accepting new patients
Peacehealth CurrentSince Oct 22, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Peacehealth CurrentSince May 20, 2022 Accepting new patients
Peacehealth CurrentSince Oct 22, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Christian Health Care Center Past Accepting new patients
Clay & Davis Mt Baker Development L L C Past Accepting new patients

Locations

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

Interoperability endpoints

  • Direct secure messaging: alee64317@direct.peacehealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SP ConsultingLynden, WA, CCN 505406 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 15, 2019
Jan 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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 13

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1386788784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE",
            "address_2": "DEPT 364",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839324",
            "telephone_number": "360-715-4186",
            "fax_number": "360-715-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-715-4186",
            "fax_number": "360-715-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982844327",
            "country_code": "US",
            "telephone_number": "360-856-7588",
            "fax_number": "360-856-7252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-788-6340",
            "fax_number": "360-788-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGIE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD60061916",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD60061916",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60061916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.