Individual provider Active NPI

Mari Jo Lee, NP-C

  • Family Nurse Practitioner
  • Arden, NC
National Provider Identifier
1407380504
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009607 Issued in NC
Practice address
2695 Hendersonville Rd
Arden, NC 28704-8576
Phone
(828) 694-2350
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22559 TN
Family Nurse Practitioner 363LF0000X 5009607 NC Primary

Addresses

Primary practice location

2695 Hendersonville Rd
Arden, NC 28704-8576

Mailing address

322 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-6462

Other practice location 1

3334 Boyston Hwy
Mills River, NC 28759
Phone (828) 694-8100

Other practice location 2

45 Hendersonville Hwy Ste A
Pisgah Forest, NC 28768-9295
Phone (828) 435-8100

Other practice location 3

212 Thompson St Ste A
Hendersonville, NC 28792-2895
Phone (828) 697-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20171023001806 NC Practitioner - Nurse Practitioner 9133495914 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22559TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Urgent Care Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Henderson County Hospital Corporation PastSince Jul 1, 2022 Accepting new patients

Locations

2695 Hendersonville Rd
Arden, NC 28704
Phone (828) 651-6350

212 Thompson St
Ste A
Hendersonvlle, NC 28792
Phone (828) 697-3232

45 Hendersonville Hwy
Ste A
Pisgah Forest, NC 28768
Phone (828) 435-8100

Interoperability endpoints

  • Direct secure messaging: mlee265593@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1407380504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 HENDERSONVILLE RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048576",
            "telephone_number": "828-694-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3334 Boyston Hwy",
            "address_purpose": "LOCATION",
            "city": "Mills River",
            "state": "NC",
            "postal_code": "28759",
            "country_code": "US",
            "telephone_number": "828-694-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hendersonville Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Pisgah Forest",
            "state": "NC",
            "postal_code": "287689295",
            "country_code": "US",
            "telephone_number": "828-435-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Thompson St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287922895",
            "country_code": "US",
            "telephone_number": "828-697-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARI",
        "middle_name": "JO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22559",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.