Individual provider Active NPI

Jessica Elaine Lee, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1477264745
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33155 Issued in TN
Practice address
1520 Union Ave
Memphis, TN 38104-3700
Phone
(901) 276-2410
Fax
(901) 261-6010
NPI assigned
Dec 8, 2022
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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 905017 MS
Family Nurse Practitioner 363LF0000X 33155 TN Primary

Addresses

Primary practice location

1520 Union Ave
Memphis, TN 38104-3700

Mailing address

3071 Logans Loop
Hernando, MS 38632-6028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230127001258 TN Practitioner - Nurse Practitioner 8426429580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33155TNMDPharmacist
905017MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Jan 10, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 10, 2023 Accepting new patients
Baptist Minor Medical Centers Inc Family CurrentSince Jan 31, 2024 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

790 W Poplar Ave
Ste 1
Collierville, TN 38017
Phone (901) 853-9700

670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

6685 Poplar Ave
Ste 120
Germantown, TN 38138
Phone (901) 685-8245

1717 W Massey Rd
Memphis, TN 38120
Phone (901) 227-2550

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

3295 Poplar Ave
Ste 105
Memphis, TN 38111
Phone (901) 327-8188

6025 Walnut Grove Rd
Ste 627
Memphis, TN 38120
Phone (901) 763-1695

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

7715 Wolf River Blvd
Memphis, TN 38138
Phone (901) 328-6031

8040 Wolf River Blvd
Ste 102
Memphis, TN 38138
Phone (901) 227-7900

8040 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 726-0200

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Organizations & group practices 3

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1477264745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 LOGANS LOOP",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386326028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043700",
            "telephone_number": "901-276-2410",
            "fax_number": "901-261-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905017",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.