Stacy Lynn Lee, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5009579 Issued in NC

Practice address

14125 Steele Creek Rd
Charlotte, NC 28273-3968

Phone

(704) 504-8199

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Infusion Services LLC 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Palmetto Infusion Services LLC

  • Infusion Therapy Clinic/Center
  • West Columbia, SC
  • NPI 1265462659

  NC, SC

  Medicare reassignment Care Compare group NPD
• Palmetto Infusion Services, LLC

  • Home Infusion Therapy Pharmacy
  • Florence, SC
  • NPI 1154814630
  Care Compare group
• Palmetto Infusion Services, LLC

  • Home Infusion Therapy Pharmacy
  • North Charleston, SC
  • NPI 1588016687
  Care Compare group
• Carolina Essential Wellness

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1669190088
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1477073534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ASTON MILL PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734072",
            "telephone_number": "980-522-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 STEELE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733968",
            "telephone_number": "704-504-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryean Timeya Lee
• Sarah Lee, HTL
• Shiniqua Mona Lee, LCSW
• Soong Hyun Lee, M.D.
• Stacey Michelle Lee, P.A.-C
• Sun Cha Lee, DDS
• Susan Jin Lee, CRNA
• Susan Spicer Lee, LCSW LPC CCAS
• Takiyah Tone' Lee, LCSWSA
• Yeonhee Lee, MD

• All providers in Charlotte, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.