Individual provider Active NPI

Dawn Marie Lee, ADVANCED PRACTICE NU

  • Family Nurse Practitioner
  • Somers Point, NJ
National Provider Identifier
1396466041
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NO11765700 Issued in NJ
Practice address
100 Medical Center Way
Somers Point, NJ 08244-2300
Phone
(609) 653-3520
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NO11765700 NJ Primary

Addresses

Primary practice location

100 Medical Center Way
Somers Point, NJ 08244-2300

Mailing address

8 Du Mont Dr
Millville, NJ 08332-9410
Phone (609) 805-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230606000645 NJ Practitioner - Nurse Practitioner 3779940895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayfront Emergency Physicians PAGroup PAC ID 4587658778, 9 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (302) 273-2247

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO11765700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayfront Emergency Physicians PA CurrentSince May 4, 2023 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jul 16, 2023 Accepting new patients
Atlanticare Physician Group PA CurrentSince Jul 16, 2023 Accepting new patients
Main Line Emergency Med Associates LLC Past Accepting new patients

Locations

56 W Main St
Ste 203
Christiana, DE 19702

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

Organizations & group practices 4

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 1

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": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1396466041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DU MONT DR",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083329410",
            "telephone_number": "609-805-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER WAY",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442300",
            "telephone_number": "609-653-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "ADVANCED PRACTICE NU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NO11765700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.