Individual provider Active NPI

Sheena Lee

  • Family Nurse Practitioner
  • Princeton, IN
National Provider Identifier
1497449961
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28231319A Issued in IN
Practice address
2717 W Broadway St
Princeton, IN 47670-9420
Phone
(812) 890-0897
NPI assigned
Jun 6, 2023
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 28231319A IN Primary

Addresses

Primary practice location

2717 W Broadway St
Princeton, IN 47670-9420

Mailing address

PO Box 306417
Nashville, TN 37230-6417
Phone (931) 253-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20230913004121 IN Practitioner - Nurse Practitioner 6709240492 Reassigns benefits to 2 organizations
I20260107000350 IL Practitioner - Nurse Practitioner 6709240492 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
Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians
Chestnut Health of Indiana PCGroup PAC ID 4183078215, 7 clinicians

Practice addresses (Care Compare)

1530 N Randall Rd
Suite 210
Elgin, IL 60123-7879
Phone (224) 760-7322

3518 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-4667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28231319AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 11, 2023 Accepting new patients
Chestnut Health of Illinois LLC CurrentSince Oct 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 11, 2023 Accepting new patients
Chestnut Health of Indiana PC CurrentSince Jun 11, 2024 Accepting new patients

Locations

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

1500 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 816-3200

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

3518 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0358

2717 W Broadway St
Princeton, IN 47670
Phone (812) 635-2036

1778 E State Road 44
Shelbyville, IN 46176
Phone (463) 235-3043

Organizations & group practices 4

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1497449961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306417",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306417",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 W BROADWAY ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476709420",
            "telephone_number": "812-890-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28231319A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.