NPIMap

Individual provider Active NPI

Brenda Lee

  • Nurse Practitioner
  • Springvale, ME
National Provider Identifier
1649835224
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201003 Issued in ME
Practice address
15 Oak St
Springvale, ME 04083-1926
Phone
(207) 490-6900
NPI assigned
May 8, 2019
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2279869 MA
Nurse Practitioner 363L00000X 07983023 NH
Nurse Practitioner 363L00000X 201003 ME Primary
Adult Health Nurse Practitioner 363LA2200X 201003 ME
Adult Health Nurse Practitioner 363LA2200X 07983023 NH
Adult Health Nurse Practitioner 363LA2200X 2279869 MA
Gerontology Nurse Practitioner 363LG0600X 201003 ME
Gerontology Nurse Practitioner 363LG0600X 2279868 MA
Gerontology Nurse Practitioner 363LG0600X 07983023 NH
Primary Care Nurse Practitioner 363LP2300X 201003 ME
Primary Care Nurse Practitioner 363LP2300X 07983023 NH

Addresses

Primary practice location

15 Oak St
Springvale, ME 04083-1926

Mailing address

16 Peaslee Rd
Rochester, NH 03867-4523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20201008002475 ME Practitioner - Nurse Practitioner 5193050904 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

15 Oak St
Springvale, ME 04083-1926
Phone (207) 490-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2279869MAMDNurse Practitioner
201003MEMDNurse Practitioner
2279868MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
York County Community Action Corp CurrentSince Mar 27, 2023 Accepting new patients
York County Community Action Corp Past Accepting new patients

Locations

357 Elm St
Biddeford, ME 04005
Phone (207) 282-5919

15 Oak St
Springvale, ME 04083
Phone (207) 490-6900

Interoperability endpoints

  • Direct secure messaging: brenda.lee.p1@direct.nassonhealthcare.nextgenshare.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 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1649835224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PEASLEE RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038674523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-490-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2279869",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "07983023",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "201003",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "201003",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "07983023",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "2279869",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "201003",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "2279868",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "07983023",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "201003",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "07983023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springvale, ME

Sources for this page

Verify at the official NPI Registry.