Active NPI
Kristen M Lee, PA
- Physician Assistant
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9118247
- Practice address
- 1312 Manatee Ave E
Bradenton, FL 34208-1358 - Phone
- (941) 708-8700
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085004658 | IL | |
| Physician Assistant | 363A00000X | PA9118247 | FL | Primary |
| Physician Assistant | 363A00000X | 085004658 | IL |
Addresses
Primary practice location
1312 Manatee Ave E
Bradenton, FL 34208-1358
Mailing address
PO Box 9727
Peoria, IL 61612-9727
Phone (309) 886-9172
Other practice location 1
256 S Soangetaha Rd
Galesburg, IL 61401-5586
Phone (309) 233-2836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Solvera Healthcare Center Inc
Practice addresses (Care Compare)
256 S Soangetaha Rd
Galesburg, IL 61401-5586
Phone (309) 233-2836
3525 N University St
Peoria, IL 61604-1324
Phone (309) 886-9172
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 62.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9118247 | FL | MD | Physician Assistant |
| 085004658 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solvera Healthcare Center Inc | Current | Accepting new patients | |
| Solvera Healthcare Center Inc | Current | Accepting new patients | |
| Solvera Healthcare Center Inc | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Emergency Care Specialists PC | Past | Accepting new patients | |
| Hastings Emergency Physicians PLC | Medical | Past | Accepting new patients |
Locations
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
256 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 233-2836
3525 N University St
Peoria, IL 61604
Phone (309) 886-9172
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.
-
- Clinic/Center
- Peoria, IL
- NPI 1588248249
-
- Federally Qualified Health Center (FQHC)
- Galesburg, IL
- NPI 1760113104
-
- Critical Access Hospital
- Canton, IL
- NPI 1780692087
-
dba Graham Medical Group Galesburg 2
- Rural Health Clinic/Center
- Galesburg, IL
- NPI 1063128601
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1093766958
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1649216789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9727",
"city": "PEORIA",
"state": "IL",
"postal_code": "616129727",
"telephone_number": "309-886-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081358",
"telephone_number": "941-708-8700"
}
],
"practiceLocations": [
{
"address_1": "256 S Soangetaha Rd",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614015586",
"country_code": "US",
"telephone_number": "309-233-2836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085004658",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9118247",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085004658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.