Individual provider Active NPI

Rachael Courtney Lee, NP

  • Family Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1821745233
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905162 Issued in MS
Practice address
3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Phone
(228) 872-2403
NPI assigned
Mar 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 905162 MS Primary

Addresses

Primary practice location

3099 Bienville Blvd
Ocean Springs, MS 39564-4308

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576

Other names 1

  • Rachael Courtney Naef Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220410000072 MS Practitioner - Nurse Practitioner 6507252087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

1113 Bienville Blvd
Ocean Springs, MS 39564-2909
Phone (228) 300-5945

3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Phone (228) 818-0310

Hospital & facility affiliations

  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medical Center Inc. CurrentSince Oct 1, 2024 Accepting new patients
Singing River Health System CurrentSince Mar 16, 2022 Accepting new patients
Physician Services of the Gulf Coast LLC CurrentSince Oct 1, 2024 Accepting new patients
Singing River Gulfport CurrentSince Mar 16, 2022 Accepting new patients

Locations

921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

6652 U S Highway 98
Hattiesburg, MS 39402

1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945

3099 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-2403

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

8288 Firetower Rd
Ste F
Pass Christian, MS 39571
Phone (228) 222-8900

Interoperability endpoints

  • Direct secure messaging: rachael.lee.1@24353.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1821745233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644308",
            "telephone_number": "228-872-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RACHAEL",
        "middle_name": "COURTNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "NAEF",
            "middle_name": "COURTNEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.