Individual provider Active NPI

Stephanie Bennett Lee, FNP

  • Nurse Practitioner
  • Cades, SC
National Provider Identifier
1629811583
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28900 Issued in SC
Practice address
3555 N Williamsburg County Hwy Ste 100
Cades, SC 29518-3008
Phone
(843) 355-0180
Fax
(843) 355-1606
NPI assigned
Jun 17, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28900 SC Primary

Addresses

Primary practice location

3555 N Williamsburg County Hwy Ste 100
Cades, SC 29518-3008

Mailing address

3555 N Williamsburg County Hwy Ste 100
Cades, SC 29518-3008
Phone (843) 355-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240826000519 SC Practitioner - Nurse Practitioner 9032658869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3555 Williamsburg Hwy
Cades, SC 29518
Phone (803) 425-1182

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 11, 2024 Accepting new patients
Musc Community Physicians CurrentSince Aug 11, 2024 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties PastSince Jun 23, 2024 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3555 N Williamsburg County Hwy
Ste 100
Cades, SC 29518
Phone (843) 355-0180

805 Pamplico Hwy
Ste 230
Florence, SC 29505
Phone (843) 699-1220

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.

Hospital & facility affiliations 2

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1629811583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 N WILLIAMSBURG COUNTY HWY STE 100",
            "city": "CADES",
            "state": "SC",
            "postal_code": "295183008",
            "telephone_number": "843-355-0180",
            "fax_number": "843-355-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 N WILLIAMSBURG COUNTY HWY STE 100",
            "city": "CADES",
            "state": "SC",
            "postal_code": "295183008",
            "telephone_number": "843-355-0180",
            "fax_number": "843-355-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "middle_name": "BENNETT",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "28900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cades, SC

Sources for this page

Verify at the official NPI Registry.