Jennifer Lynn Lee, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19652 Issued in SC

Practice address

5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579

Phone

(843) 236-2700

Fax

(843) 236-2726

NPI assigned

Sep 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PH Health Care Services IncGroup PAC ID 2163683012, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Myrtle Beach Home health agency, Myrtle Beach, SC, CCN 427067

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0009605
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PH Healthcare Services, Inc.

  • In Home Supportive Care Agency
  • Easley, SC
  • NPI 1427475292
  Medicare reassignment Care Compare group NPD
• North Myrtle Beach Internal Medicine

  • Internal Medicine Physician
  • North Myrtle Beach, SC
  • NPI 1326073370
  Medicare reassignment NPD
• PH Health Care Services Inc

  • Community Based Hospice Care Agency
  • Easley, SC
  • NPI 1134491616
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Georgetown Hospital Home Health LLC

  dba Amedisys Home Health of Myrtle Beach

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1811955065
  Care Compare affiliation

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1760852313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-5139",
            "fax_number": "843-234-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CAROLINA FOREST BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793579",
            "telephone_number": "843-236-2700",
            "fax_number": "843-236-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 N Myrtle Point Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295822224",
            "country_code": "US",
            "telephone_number": "843-663-2100",
            "fax_number": "843-663-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K Lee, O.D.
• Bryan Robert Lee
• Collin Scott Lee, ATS
• David B Lee, PAC
• Elizabeth Poer Lee, PT, DPT
• Melissa R Lee
• Ryan Lee, PA-C
• Sejong Lee, MD
• Wendy W Lee, MD
• Legacy Prosthodontics LLC

• Family Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.

Verify at the official NPI Registry.