Individual provider Active NPI

Sia Lee, FNP-C

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1548740459
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95009520 Issued in CA
Practice address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone
(855) 687-0618
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 NP95009520 CA Primary

Addresses

Primary practice location

4535 Dressler Rd NW
Canton, OH 44718-2545

Mailing address

1134 N de Wolf Ave
Fresno, CA 93737-9794
Phone (559) 916-6062

Other practice location 1

275 W Herndon Ave
Clovis, CA 93612-0204
Phone (559) 324-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190226002213 CA Practitioner - Nurse Practitioner 2961741574 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

275 W Herndon Ave
Clovis, CA 93612-0204
Phone (559) 324-6200

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95009520CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Emergency Medical Associates CurrentSince Nov 5, 2018 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Community Health Partners CurrentSince Sep 1, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Ali Rezapour, M.D., Inc. Past Accepting new patients
Heu Medical Group, Inc. Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

275 W Herndon Ave
Clovis, CA 93612
Phone (559) 321-4255

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 573-3430

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

Organizations & group practices 7

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 1

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1548740459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N DE WOLF AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937379794",
            "telephone_number": "559-916-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "855-687-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936120204",
            "country_code": "US",
            "telephone_number": "559-324-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.