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SPENCER DARRELL LEE M.D.
NPI 1053470252
Specialist in Port St Lucie, FL

Active since December 06, 2006Opted out of Medicare · through Apr 1, 2027
525 NW LAKE WHITNEY PL, SUITE 206, PORT ST LUCIE, FL 34986(772) 878-8885(772) 878-5898 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spencer Darrell Lee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER DARRELL LEE M.D. (NPI 1053470252) is an individual specialist in Port St Lucie, Florida, licensed in Florida (ME 76643) and active in the NPI registry since December 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053470252
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSPENCER DARRELL LEECredential: M.D.
Location Address525 NW LAKE WHITNEY PL, SUITE 206Port St Lucie, FL 34986-1605
Mailing Address525 Nw Lake Whitney Pl, Suite 206Port St Lucie, FL 34986-1605 · (772) 878-8885 · Fax (772) 878-5898
Phone(772) 878-8885
Fax(772) 878-5898
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 1, 2013
✔ NPI 1053470252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME 76643
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

525 NW LAKE WHITNEY PL, Port St Lucie, FL 34986
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Other Identifiers 2

Medicare UPING36268FL
Medicare ID-Type Unspecified44220FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Spencer Darrell Lee M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REMWAY PORT ST LUCIE, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
525 NW LAKE WHITNEY PL, SUITE 102 BLDG P
PORT ST LUCIE, FL 34986
St. Lucie County (772) 323-2661
CHARNELLE WILLIS
Counselor (Mental Health)
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8164
STACEY HOWE M.S.W
Social Worker
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8164
PEDRO LUNA JR.
Case Manager/Care Coordinator
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8164
MS. STEPHANIE MICHELLE REYNOLDS M.S.
Counselor (Mental Health)
525 NW LAKE WHITNEY PL
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 492-9841
KATHERINE AMIT M.ED., LMHC
Counselor (Mental Health)
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8164
LETTY OWUOR PSY.D.
Counselor (Mental Health)
525 NW LAKE WHITNEY PL, SUITE. 102 &103
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 337-8164
BSAM HOLDINGS INC
Clinic/Center (Sleep Disorder Diagnostic)
525 NW LAKE WHITNEY PL, BLDG P - STE 103
PORT ST LUCIE, FL 34986
St. Lucie County (772) 323-2660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Lee's NPI number?

The NPI number for Spencer Lee is 1053470252. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Spencer Lee located?

Spencer Lee practices at 525 NW Lake Whitney Pl Suite 206, Port St Lucie, FL 34986. The listed phone number is (772) 878-8885.

What is Spencer Lee's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Spencer Lee enrolled in Medicare?

No. Spencer Lee has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Spencer Lee was last updated on May 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.