Individual provider Active NPI

Nika Jee Un Lee, CRNP

  • Acute Care Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1649983966
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0034091 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-5957
Phone
(216) 444-2200
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0034091 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-5957

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230919001956 OH Practitioner - Nurse Practitioner 8224492624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Nephrology Care LTDGroup PAC ID 8921997974, 21 clinicians
Cleveland Kidney and Hypertension Consultants IncGroup PAC ID 0840247763, 8 clinicians

Practice addresses (Care Compare)

18720 Chagrin Blvd
Shaker Heights, OH 44122-4855
Phone (216) 658-0458

25301 Euclid Ave
Second Floor
Euclid, OH 44117-2609
Phone (216) 261-6263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0034091OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Nephrology Care LTD. CurrentSince Nov 4, 2024 Accepting new patients
Cleveland Kidney & Hypertension Consultants Inc CurrentSince Nov 4, 2024 Accepting new patients

Locations

25301 Euclid Ave
Fl Second
Euclid, OH 44117
Phone (216) 261-6263

25301 Euclid Ave
Ste 2
Euclid, OH 44117

6770 Mayfield Rd
Ste 447
Mayfield Heights, OH 44124
Phone (216) 545-4006

18720 Chagrin Blvd
Shaker Heights, OH 44122
Phone (216) 295-7003

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1649983966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441955957",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NIKA",
        "middle_name": "JEE UN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0034091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.