MS. JENNIFER GRACE WALTER LEE PHD
NPI 1104171792
Clinical Neuropsychologist in Albuquerque, NM

Q: What is Jennifer Lee's NPI number?

The NPI number for Jennifer Lee is 1104171792. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Q: What is Jennifer Lee's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lee was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since July 19, 2012PECOS EnrolledAccepts Medicare Assignment

4001 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87110(505) 272-6203(505) 299-4740 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Aug 21, 2020, Jul 11, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Ms. Jennifer Grace Walter Lee Phd NPPES

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

MS. JENNIFER GRACE WALTER LEE PHD (NPI 1104171792) is an individual clinical neuropsychologist in Albuquerque, New Mexico, licensed in New Mexico (PSY1626) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104171792

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameMS. JENNIFER GRACE WALTER LEECredential: PHD

Location Address4001 INDIAN SCHOOL RD NEAlbuquerque, NM 87110-3816

Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844

Phone(505) 272-6203

Fax(505) 299-4740

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 19, 2012

Last NPPES UpdateSeptember 18, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1104171792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NM · PSY1626

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 0810008276 (VA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY1626 (NM)

4001 INDIAN SCHOOL RD NE, Albuquerque, NM 87110

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Secondary Practice Locations 2

Location 11000 E Broad StRichmond, VA 23219-1930 · Phone (804) 828-2467

Location 21250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-2467

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Grace Walter Lee Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406276096

PECOS Enrollment IDI20240313003165

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.

Other Providers at the Same Location NPPES

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

DR. MARY L. DE LUCA M.D.

Psychiatry & Neurology (Psychiatry)

4001 INDIAN SCHOOL RD NE, SUITE 305
ALBUQUERQUE, NM 87110

Bernalillo County (505) 830-1100

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 Jennifer Lee's NPI number?

The NPI number for Jennifer Lee is 1104171792. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Jennifer Lee located?

Jennifer Lee practices at 4001 Indian School Rd NE, Albuquerque, NM 87110. The listed phone number is (505) 272-6203.

What is Jennifer Lee's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jennifer Lee enrolled in Medicare?

Yes. Jennifer Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Lee accept?

Health plans from Providence Health Plan list Jennifer Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Lee was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.