Individual provider Active NPI

Karen D Lee, NP

  • Family Nurse Practitioner
  • Penn Valley, CA
National Provider Identifier
1972139079
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014211 Issued in CA
Practice address
10544 Spenceville Rd
Penn Valley, CA 95946-9623
Phone
(530) 274-9762
Fax
(530) 273-7255
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 95014211 CA Primary

Addresses

Primary practice location

10544 Spenceville Rd
Penn Valley, CA 95946-9623

Mailing address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone (530) 274-9762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200824001152 CA Practitioner - Nurse Practitioner 1355767377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Sierra Medical Clinic IncGroup PAC ID 3971571217, 35 clinicians

Practice addresses (Care Compare)

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone (530) 274-9762

Hospital & facility affiliations

  • Advanced Home Health, Inc Home health agency, Sacramento, CA, CCN 058426
  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014211CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers Inc CurrentSince May 12, 2020 Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers, Inc. CurrentSince May 12, 2020 Accepting new patients
Western Sierra Medical Clinic, Inc. Past Accepting new patients

Locations

1345 Whispering Pines Ln
Grass Valley, CA 95945
Phone (530) 265-7895

844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984

10544 Spenceville Rd
Penn Valley, CA 95946
Phone (530) 273-4984

2640 E Lafayette St
Stockton, CA 95205
Phone (209) 751-5221

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: karen.lee@wsmc1.eclinicaldirectplus.com
  • Direct secure messaging: karen.lee.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 6

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 3

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1972139079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "530-274-9762",
            "fax_number": "530-273-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10544 SPENCEVILLE RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469623",
            "telephone_number": "530-274-9762",
            "fax_number": "530-273-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, CA

Sources for this page

Verify at the official NPI Registry.