Active NPI
Melissa Kay Lee, FNP-C
- Family Nurse Practitioner
- Godfrey, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.014346
- Practice address
- 5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510 - Phone
- (618) 619-3330
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- No
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Heights Medical Group SC
Practice addresses (Care Compare)
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6640
5213 Godfrey Rd
Suite 110
Godfrey, IL 62035-2510
Phone (618) 619-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161111000454 | MO | Practitioner - Nurse Practitioner | 6406135656 | Reassigns benefits to 1 organization |
| I20170201000169 | IL | Practitioner - Nurse Practitioner | 6406135656 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.014346 | IL | MD | Nurse Practitioner |
| 2016011739 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
Interoperability endpoints
- mlee347905@ewd.direct.hshs.org
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.014346 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 2016011739 | MO | |
| Nurse Practitioner | 363L00000X | 209.014346 | IL |
Addresses
NPPES NPI RegistryPrimary practice location
5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510
Mailing address
PO Box 959203
Saint Louis, MO 63195-1799
Phone (618) 619-3330
Other practice location 1
1215 Franciscan Dr
Litchfield, IL 62056-1799
Phone (217) 324-8791
Other practice location 2
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 304-3734
Other practice location 3
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6640
Electronic endpoints 2
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlee347905@ewd.direct.hshs.org | Direct | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2025.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1679920052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959203",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631951799",
"telephone_number": "618-619-3330",
"fax_number": "618-619-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5213 GODFREY RD STE 110",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352510",
"telephone_number": "618-619-3330"
}
],
"practiceLocations": [
{
"address_1": "1215 Franciscan Dr",
"address_purpose": "LOCATION",
"city": "Litchfield",
"state": "IL",
"postal_code": "620561799",
"country_code": "US",
"telephone_number": "217-324-8791",
"fax_number": "217-324-8670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620026722",
"country_code": "US",
"telephone_number": "618-304-3734",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "163 E Bethalto Dr",
"address_purpose": "LOCATION",
"city": "Bethalto",
"state": "IL",
"postal_code": "620101801",
"country_code": "US",
"telephone_number": "618-433-6640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MELISSA",
"middle_name": "KAY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.014346",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016011739",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.014346",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlee347905@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1215 Franciscan Dr",
"city": "Litchfield",
"state": "IL",
"country_code": "US",
"postal_code": "620561799",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5213 Godfrey Rd Ste 110",
"city": "Godfrey",
"state": "IL",
"country_code": "US",
"postal_code": "620352510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Godfrey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.