Individual provider Active NPI

Teresa Mason Lee, APRN- FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1992497531
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0102755 Issued in CO
Practice address
3604 Galley Rd Ste 201
Colorado Springs, CO 80909-4301
Phone
(719) 638-4548
Fax
(719) 638-4571
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0102755 CO Primary
Family Nurse Practitioner 363LF0000X 27946 SC
Registered Nurse 163W00000X 250368 SC

Addresses

Primary practice location

3604 Galley Rd Ste 201
Colorado Springs, CO 80909-4301

Mailing address

3604 Galley Rd Ste 201
Colorado Springs, CO 80909-4301
Phone (410) 200-8922

Other practice location 1

616 New Hope Rd
Anderson, SC 29626-5223
Phone (410) 200-8922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250513001715 CO Practitioner - Nurse Practitioner 1557889680

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Medical Clinic LLCGroup PAC ID 5991117640, 3 clinicians

Practice addresses (Care Compare)

3604 Galley Rd
Suite 201
Colorado Springs, CO 80909-4301
Phone (719) 638-4548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
250368SCMDRegistered Nurse
27946SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Medical Clinic, LLC CurrentSince Jun 10, 2025 Accepting new patients

Locations

3604 Galley Rd
Ste 201
Colorado Springs, CO 80909
Phone (719) 634-4548

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1992497531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094301",
            "telephone_number": "410-200-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094301",
            "telephone_number": "719-638-4548",
            "fax_number": "719-638-4571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 New Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296265223",
            "country_code": "US",
            "telephone_number": "410-200-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "TERESA",
        "middle_name": "MASON",
        "credential": "APRN- FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0102755",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27946",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "250368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.