Individual provider Active NPI

Kristian Patricia Lee, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1881204162
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014894 Issued in KY
Practice address
201 Park St
Bowling Green, KY 42101-1708
Phone
(270) 783-3343
Fax
(270) 780-0476
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 3014894 KY Primary

Addresses

Primary practice location

201 Park St
Bowling Green, KY 42101-1708

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 783-3343

Other practice location 1

2508 Scottsville Rd Ste 104
Bowling Green, KY 42104-4400
Phone (270) 746-6330

Other identifiers 1

IdentifierTypeStateIssuer
7100692160MedicaidKY

Other names 1

  • Kristian Patricia McGee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200930001180 KY Practitioner - Nurse Practitioner 9335568054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zipclinic, PSC CurrentSince Jul 9, 2020 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 28, 2020 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 28, 2020 Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1325 Andrea St
Ste 200
Bowling Green, KY 42104
Phone (270) 781-1772

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

1325 Andrea St
Bowling Green, KY 42104
Phone (270) 783-3323

2005 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0008

Interoperability endpoints

  • Direct secure messaging: kristianlee@ggc.allscriptsdirect.net

Organizations & group practices 3

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 1

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1881204162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-783-3343",
            "fax_number": "270-780-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-783-3343",
            "fax_number": "270-780-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2508 Scottsville Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421044400",
            "country_code": "US",
            "telephone_number": "270-746-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KRISTIAN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100692160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIAN",
            "last_name": "MCGEE",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.