Individual provider Active NPI

Jessica Lee

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1831588201
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9398727 Issued in FL
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

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150319000725 FL Practitioner - Nurse Practitioner 1850618455 Reassigns benefits to 1 organization
I20240222000367 MS Practitioner - Nurse Practitioner 1850618455 Reassigns benefits to 4 organizations

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
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Practice addresses (Care Compare)

725 Dunbar Ave
Bay St Louis, MS 39520-2920
Phone (877) 674-1211

Hospital & facility affiliations

  • Magee General Hospital Hospital, Magee, MS, CCN 250124
  • Covington County Hospital Cah Hospital, Collins, MS, CCN 251325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-175236ALMDFamily Nurse Practitioner
9398727FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Elemental Living Inc Family CurrentSince Jun 1, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Mar 1, 2024 Accepting new patients
Aria Podiatry Care PLLC CurrentSince Aug 25, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Altix Medical Ms PC PastSince Jun 1, 2025 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.