Active NPI
Jessica Lee
- Family Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9398727
- Practice address
- 4901 Market Place Rd
Pensacola, FL 32504 - Phone
- (850) 484-4080
- Fax
- (850) 484-8801
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-175236 | AL | |
| Family Nurse Practitioner | 363LF0000X | 9398727 | FL | Primary |
Addresses
Primary practice location
4901 Market Place Rd
Pensacola, FL 32504
Mailing address
500 Laurel St
Van Horn, TX 79855-2298
Phone (432) 283-3160
Other practice location 1
6501 Caroline St
Milton, FL 32570-4582
Phone (850) 623-0133 ext. 8221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 Dunbar Ave
Bay St Louis, MS 39520-2920
Phone (877) 674-1211
Hospital & facility affiliations
- Magee General Hospital
- Covington County Hospital Cah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-175236 | AL | MD | Family Nurse Practitioner |
| 9398727 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Elemental Living Inc | Family | Current | Accepting new patients |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Aria Podiatry Care PLLC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Altix Medical Ms PC | Past | Accepting new patients | |
| Aria Dental Care PC | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320
2237 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 416-4740
725 Dunbar Ave
Bay St Louis, MS 39520
Phone (228) 446-3099
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
304 S Broadway St
Ste 1
Tupelo, MS 38804
Organizations & group practices 8
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- General Practice Physician
- Tupelo, MS
- NPI 1992638944
-
- Dentist
- Overland Park, KS
- NPI 1942977632
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Collins, MS
- NPI 1215965249
-
- General Acute Care Hospital
- Magee, MS
- NPI 1679553994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1831588201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LAUREL ST",
"city": "VAN HORN",
"state": "TX",
"postal_code": "798552298",
"telephone_number": "432-283-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 MARKET PLACE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32504",
"telephone_number": "850-484-4080",
"fax_number": "850-484-8801"
}
],
"practiceLocations": [
{
"address_1": "6501 Caroline St",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "FL",
"postal_code": "325704582",
"country_code": "US",
"telephone_number": "850-623-0133 x8221",
"fax_number": "850-623-6134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-175236",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9398727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.