Justin Lee, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

557247 Issued in KS

Practice address

711 Marshall St
Leavenworth, KS 66048-3235

Phone

(913) 684-1100

Fax

(913) 684-1239

NPI assigned

Mar 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, CO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizens Medical Center IncGroup PAC ID 8729996467, 30 clinicians

Clinical Colleagues KS PAGroup PAC ID 3870921984, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/

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.

• Citizens Medical Center, Inc.

  • Critical Access Hospital
  • Colby, KS
  • NPI 1386678431
  Medicare reassignment Care Compare group NPD
• Clinical Colleagues KS PA

  • Anesthesiology Physician
  • Chanute, KS
  • NPI 1548813967

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766

  CO

  Medicare reassignment
• Citizens Medical Center Inc

  • Community/Retail Pharmacy
  • Colby, KS
  • NPI 1447962493
  NPD
• New Wave Anesthesia Service, LLC

  • Certified Registered Nurse Anesthetist
  • Hays, KS
  • NPI 1811474760

  Nurse Anesthetist, Certified Registered

  NPD
• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1972928778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410272",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641410272",
            "telephone_number": "913-234-1350",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MARSHALL ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483235",
            "telephone_number": "913-684-1100",
            "fax_number": "913-684-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUSTIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13072095072",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leavenworth Oral & Maxillofacial Surgeons PA
• Leavenworth Physical Therapy LLC
• Leavenworth VA Cmop
• Byron W Leclerc, D.C
• Areum Lee
• Karissa Lee
• Shemika Nicole Lee, RRT
• Terry Ann Lee, M.A. CCC-SLP
• Daniel Leff
• Micaela J Leighton, MD

• Certified Registered Nurse Anesthetist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.