Individual provider Active NPI

Jeffrey Charles Lee, FNP-C

  • Nurse Practitioner
  • Marshall, MI
National Provider Identifier
1962956409
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704279230 Issued in MI
Practice address
1174 W Michigan Ave Ste B
Marshall, MI 49068-1625
Phone
(269) 789-4390
NPI assigned
Aug 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704279230 MI Primary

Addresses

Primary practice location

1174 W Michigan Ave Ste B
Marshall, MI 49068-1625

Mailing address

601 John St
Box 39
Kalamazoo, MI 49007-5341

Other practice location 1

181 Emmett St W
Battle Creek, MI 49037-2963
Phone (269) 965-8866

Other practice location 2

302 N Monroe St Ste B
Albion, MI 49224-1765
Phone (517) 654-1020

Other practice location 3

363 Fremont St Ste 307
Battle Creek, MI 49017-3391
Phone (269) 341-8585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160922000353 MI Practitioner - Nurse Practitioner 1850688656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Hospital & facility affiliations

  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Aug 1, 2021 Accepting new patients
Ella E M Brown Charitable Circle Nurse Practitioner CurrentSince Apr 28, 2023 Accepting new patients
Bronson Battle Creek Hospital Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Ella E M Brown Charitable Circle Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Aug 1, 2021 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Apr 28, 2023 Accepting new patients
Ella E M Brown Charitable Circle PastSince Apr 30, 2023 Accepting new patients

Locations

302 N Monroe St
Ste B
Albion, MI 49224
Phone (517) 654-1020

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

5352 Beckley Rd
Ste B
Battle Creek, MI 49015
Phone (269) 558-0714

363 Fremont St
Ste 307
Battle Creek, MI 49017
Phone (269) 245-8109

181 Emmett St W
Battle Creek, MI 49037
Phone (269) 965-8866

363 Fremont St
Ste 109
Battle Creek, MI 49017
Phone (269) 245-8190

375 N Willowbrook Rd
Coldwater, MI 49036
Phone (517) 924-1605

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#39
Kalamazoo, MI 49007

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

1174 W Michigan Ave
Ste B
Marshall, MI 49068
Phone (269) 789-4390

7901 S 12th St
Ste 200
Portage, MI 49024
Phone (269) 341-8585

Interoperability endpoints

  • Direct secure messaging: jeffrey.lee.1@9698.direct.athenahealth.com
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 7

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": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1962956409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 39",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W MICHIGAN AVE STE B",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681625",
            "telephone_number": "269-789-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Emmett St W",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490372963",
            "country_code": "US",
            "telephone_number": "269-965-8866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 N Monroe St Ste B",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "MI",
            "postal_code": "492241765",
            "country_code": "US",
            "telephone_number": "517-654-1020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Fremont St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173391",
            "country_code": "US",
            "telephone_number": "269-341-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-13",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704279230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.