NPIMap

Individual provider Active NPI

Jenny S Lee, M.D.

  • Family Medicine Physician
  • Palmyra, PA
National Provider Identifier
1508821836
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD071792L Issued in PA
Practice address
1400 S Forge Rd
Palmyra, PA 17078-9519
Phone
(717) 838-1301
NPI assigned
Apr 19, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD071792L PA Primary

Addresses

Primary practice location

1400 S Forge Rd
Palmyra, PA 17078-9519

Mailing address

1400 S Forge Rd
Palmyra, PA 17078-9519
Phone (717) 838-1301

Other identifiers 1

IdentifierTypeStateIssuer
001840200MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000061 PA Practitioner - Family Practice 0042345209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lebanon Valley Family Medicine IncGroup PAC ID 7214825876, 9 clinicians

Practice addresses (Care Compare)

10484 Jonestown Rd
Annville, PA 17003-8434
Phone (717) 865-6647

1400 S Forge Rd
Suite 1
Palmyra, PA 17078-9513

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Valley Family Medicine, Inc Family Medicine CurrentSince Sep 4, 2001 Accepting new patients
Lebanon Valley Family Medicine Inc Past Accepting new patients

Locations

1400 S Forge Rd
Palmyra, PA 17078
Phone (717) 274-5500

1400 S Forge Rd
Ste 1
Palmyra, PA 17078
Phone (717) 838-1301

Interoperability endpoints

  • Direct secure messaging: jslee@lvfm2.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1508821836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S FORGE RD",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789519",
            "telephone_number": "717-838-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S FORGE RD",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170789519",
            "telephone_number": "717-838-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD071792L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001840200",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

Verify at the official NPI Registry.