Individual provider Active NPI

Stephanie Lee

  • Nurse Practitioner
  • Grove, OK
National Provider Identifier
1437547288
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
215866 Issued in OK
Practice address
115 W 13TH St
Grove, OK 74344-3224
Phone
(417) 624-0440
Fax
(417) 624-9652
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 215866 OK Primary

Addresses

Primary practice location

115 W 13TH St
Grove, OK 74344-3224

Mailing address

115 W 13TH St
Grove, OK 74344-3224
Phone (417) 624-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171010000808 IA Practitioner - Nurse Practitioner 0446577159 Reassigns benefits to 1 organization
I20190604000082 MO Practitioner - Nurse Practitioner 0446577159 Reassigns benefits to 1 organization
I20240509003110 OK Practitioner - Nurse Practitioner 0446577159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 W 13TH St
Grove, OK 74344-3224
Phone (417) 624-0440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76632KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Cancer Specialists, LLC CurrentSince May 28, 2024 Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. CurrentSince May 28, 2024 Accepting new patients
Cornerstone Dermatology & Surgery Group, PC CurrentSince Jun 1, 2019 Accepting new patients
Shenandoah Medical Center CurrentSince Sep 11, 2017 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center CurrentSince Sep 11, 2017 Accepting new patients

Locations

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

601 NW Obrien Rd
Lees Summit, MO 64063
Phone (816) 287-1528

3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747

900 E 13th St
Ste 101
Grove, OK 74344
Phone (417) 624-0440

115 W 13th St
Grove, OK 74344
Phone (918) 786-2226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1437547288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 13TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443224",
            "telephone_number": "417-624-0440",
            "fax_number": "417-624-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 13TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443224",
            "telephone_number": "417-624-0440",
            "fax_number": "417-624-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "215866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.