Individual provider Active NPI

Seng Tiong Lee

  • Family Nurse Practitioner
  • Cottage Grove, MN
National Provider Identifier
1750169322
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10636 Issued in MN
Practice address
8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005
Phone
(651) 241-1884
Fax
(651) 241-0345
NPI assigned
Sep 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10636 MN Primary

Addresses

Primary practice location

8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005

Mailing address

9462 Summerlin Rd
Woodbury, MN 55129-1504
Phone (651) 492-3832

Other practice location 1

4422 White Bear Ave N
White Bear Lake, MN 55110-3475
Phone (651) 287-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20231017003428 MN Practitioner - Nurse Practitioner 4789039371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Family Physicians PAGroup PAC ID 2466631593, 6 clinicians

Practice addresses (Care Compare)

4422 White Bear Ave
White Bear Lake, MN 55110-3475

4422 White Bear Ave N
White Bear Lake, MN 55110-3475
Phone (651) 287-8780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10636MNMDGeneral Practice Dentistry

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1750169322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 SUMMERLIN RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551291504",
            "telephone_number": "651-492-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 W POINT DOUGLAS RD S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164005",
            "telephone_number": "651-241-1884",
            "fax_number": "651-241-0345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 White Bear Ave N",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551103475",
            "country_code": "US",
            "telephone_number": "651-287-8780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SENG TIONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

Verify at the official NPI Registry.