Individual provider Active NPI

Nancy Mary Lee, DPM

  • Podiatrist
  • Rogers, AR
National Provider Identifier
1619062023
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
259 Issued in AR
Practice address
200 S 20TH St
Suite B
Rogers, AR 72758-1104
Phone
(479) 636-9393
Fax
(479) 636-9341
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 216004943 IL
Durable Medical Equipment & Medical Supplies 332B00000X
Podiatrist 213E00000X 259 AR Primary

Addresses

Primary practice location

200 S 20TH St
Suite B
Rogers, AR 72758-1104

Mailing address

200 S 20TH St
Suite B
Rogers, AR 72758-1104
Phone (479) 636-9393

Other identifiers 1

IdentifierTypeStateIssuer
016004943OtherILIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814000739 AR Practitioner - Podiatry 9830164367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooke a Bisbee DPM PAGroup PAC ID 2961528179, 4 clinicians

Practice addresses (Care Compare)

200 S 20TH St
Suite B
Rogers, AR 72758-1100
Phone (479) 636-9393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue145
Removal of skin lesions32
Removal of nail tissue317
Removal or shaving of skin growth167
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
259ARMDPodiatrist
216004943ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooke a. Bisbee, DPM, PA Podiatrist CurrentSince Aug 4, 2014 Accepting new patients
Brooke a. Bisbee, DPM, PA Podiatrist CurrentSince Aug 4, 2014 Accepting new patients

Locations

209 Carter St
Berryville, AR 72616
Phone (479) 636-9393

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

Interoperability endpoints

  • Direct secure messaging: nancy.lee.1@4399.direct.athenahealth.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 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1619062023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 20TH ST",
            "address_2": "SUITE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581104",
            "telephone_number": "479-636-9393",
            "fax_number": "479-636-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 20TH ST",
            "address_2": "SUITE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581104",
            "telephone_number": "479-636-9393",
            "fax_number": "479-636-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NANCY",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "216004943",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL",
            "identifier": "016004943",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.