Individual provider Active NPI

Kory Lee

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1417830670
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1207711 Issued in TX
Practice address
1904 Pine St Ste B
Abilene, TX 79601-2450
Phone
(325) 670-5390
Fax
(325) 670-5399
NPI assigned
Jul 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 1207711 TX Primary

Addresses

Primary practice location

1904 Pine St Ste B
Abilene, TX 79601-2450

Mailing address

1904 Pine St Ste B
Abilene, TX 79601-2450
Phone (325) 670-5390

Other practice location 1

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251206000323 TX Practitioner - Nurse Practitioner 7416440417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Physician Services PAGroup PAC ID 8224256961, 43 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1207711TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Physician Services PA CurrentSince Sep 26, 2025 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1904 Pine St
Ste B
Abilene, TX 79601
Phone (325) 670-6580

Organizations & group practices 1

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1417830670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PINE ST STE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012450",
            "telephone_number": "325-670-5390",
            "fax_number": "325-670-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 PINE ST STE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012450",
            "telephone_number": "325-670-5390",
            "fax_number": "325-670-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Pine St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012432",
            "country_code": "US",
            "telephone_number": "325-670-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1207711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.