Individual provider Active NPI

Jenny Anne Lee, NP

  • Nurse Practitioner
  • Franklin, IN
National Provider Identifier
1669787255
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28140770A Issued in IN
Practice address
1159 W Jefferson St Ste 101
Franklin, IN 46131-2795
Phone
(317) 736-6133
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 28140770A IN Primary

Addresses

Primary practice location

1159 W Jefferson St Ste 101
Franklin, IN 46131-2795

Mailing address

1155 W Jefferson St Ste 101
Franklin, IN 46131-2731
Phone (317) 736-6133

Other practice location 1

1155 W Jefferson St Ste 101
Franklin, IN 46131-2731
Phone (317) 736-6133

Other practice location 2

3000 S State Road 135
Greenwood, IN 46143-9825
Phone (317) 535-1876

Other identifiers 1

IdentifierTypeStateIssuer
201354130MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160413001931 IN Practitioner - Nurse Practitioner 9234437948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana Medical College, School of Medicine of Purdue University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johnson Memorial Health Physician Network LLCGroup PAC ID 1850629361, 35 clinicians

Practice addresses (Care Compare)

3000 S State Rd
135 Suite 200
Greenwood, IN 46143-9829
Phone (317) 535-1876

Hospital & facility affiliations

  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28140770AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Physician Network, LLC Nurse Practitioner CurrentSince Dec 1, 2019 Accepting new patients
Orthopaedic Care Center Under Johnson Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1125 W Jefferson St
Ste S2
Franklin, IN 46131

1159 W Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 346-7970

1155 W Jefferson St
Ste 202
Franklin, IN 46131
Phone (317) 346-3883

1125 W Jefferson St
Ste S200
Franklin, IN 46131
Phone (317) 738-0630

1155 W Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 346-7934

1000 US Highway 31 S
Greenwood, IN 46143
Phone (317) 215-7966

3000 S State Road 135
Ste 200
Greenwood, IN 46143
Phone (317) 535-1876

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 and National Provider Directory roles.

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1669787255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W JEFFERSON ST STE 101",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312731",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 W JEFFERSON ST STE 101",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312795",
            "telephone_number": "317-736-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 W Jefferson St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312731",
            "country_code": "US",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439825",
            "country_code": "US",
            "telephone_number": "317-535-1876",
            "fax_number": "317-535-5049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28140770A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201354130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.