GINA LEE PMHNP-BC &ANP-BC
NPI 1083037964
Nurse Practitioner - Psychiatric/Mental Health in Little Neck, NY

Active since January 28, 2014PECOS Enrolled
5836 254TH ST, LITTLE NECK, NY 11362(917) 566-7645 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2021, Dec 31, 2019 (2 updates tracked since 2019).

About Gina Lee Pmhnp-bc &anp-bc NPPES

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

GINA LEE PMHNP-BC &ANP-BC (NPI 1083037964) is an individual psychiatric/mental health provider in Little Neck, New York, licensed in New York (F402513-1) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083037964
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGINA LEECredential: PMHNP-BC &ANP-BC
Location Address5836 254TH STLittle Neck, NY 11362-2124
Mailing Address3618 171st StFlushing, NY 11358-2209 · (917) 566-7645
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 28, 2014
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
NPI 1083037964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F402513-1
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F306733-1 (NY)
5836 254TH ST, Little Neck, NY 11362

Other Identifiers 1

Medicaid04030104NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gina Lee Pmhnp-bc &anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941524391
PECOS Enrollment IDI20150113002343
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
5836 254TH ST
LITTLE NECK, NY 11362

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 Gina Lee's NPI number?

The NPI number for Gina Lee is 1083037964. It was assigned to this individual provider in the NPPES registry on January 28, 2014.

Where is Gina Lee located?

Gina Lee practices at 5836 254th St, Little Neck, NY 11362. The listed phone number is (917) 566-7645.

What is Gina Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gina Lee enrolled in Medicare?

Yes. Gina Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gina Lee was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.