Active NPI
Nathan David Lee, M.D.
- Obstetrics & Gynecology Physician
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 53937
- Practice address
- 251 County Road 120
Saint Cloud, MN 56303-4872 - Phone
- (320) 202-8949
- Fax
- (320) 202-0756
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 53937 | MN | Primary |
Addresses
Primary practice location
251 County Road 120
Saint Cloud, MN 56303-4872
Mailing address
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962677518 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1301 33rd St S
Saint Cloud, MN 56301
Phone (320) 240-6955
251 County Road 120
Sartell, MN 56303
Phone (320) 202-8949
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Interoperability endpoints
- nlee298345@direct.centracare.com
Organizations & group practices 10
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.
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
dba Little Falls Orthopedics
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
dba St. Gabriel's Hospital
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
dba CentraCare Occupations Health
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1962677518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031900",
"telephone_number": "320-251-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034872",
"telephone_number": "320-202-8949",
"fax_number": "320-202-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NATHAN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "53937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962677518",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.