Active NPI
Jessica May Lee, NP-C
- Nurse Practitioner
- Dallas, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP022307
- Practice address
- 114 LT Michael Cleary Dr
Dallas, PA 18612-1649 - Phone
- (570) 255-1178
- Fax
- (570) 255-1156
- NPI assigned
- Feb 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP022307 | PA | |
| Nurse Practitioner | 363L00000X | SP022307 | PA | Primary |
Addresses
Primary practice location
114 LT Michael Cleary Dr
Dallas, PA 18612-1649
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210624003562 | PA | Practitioner - Nurse Practitioner | 9032510219 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
560 Pierce St
Kingston, PA 18704-5716
Phone (570) 714-5810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP022307 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Medical Oncology Lock Haven | Current | Accepting new patients | |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Scranton Heart Institute, P.C. | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Wayne Memorial Hospital | Past | Accepting new patients |
Locations
102 N Abington Rd
Ste 103
Clarks Green, PA 18411
Phone (570) 586-0246
114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178
100 N Academy Ave
Danville, PA 17822
560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161
3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054
809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700
35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072
Organizations & group practices 11
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.
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
-
- Psychologist
- Danville, PA
- NPI 1427086065
-
- Clinical Medical Laboratory
- Lock Haven, PA
- NPI 1528010006
-
- Durable Medical Equipment & Medical Supplies
- Scranton, PA
- NPI 1730693235
-
- Cardiac Rehabilitation Registered Nurse
- Wilkes Barre, PA
- NPI 1841995214
-
- Medical Oncology Physician
- Lock Haven, PA
- NPI 1891197885
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1730773243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 LT MICHAEL CLEARY DR",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121649",
"telephone_number": "570-255-1178",
"fax_number": "570-255-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JESSICA",
"middle_name": "MAY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP022307",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP022307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.