DESTINEY LEE FNP-C
NPI 1114410537
Nurse Practitioner in Hattiesburg, MS

Active since June 11, 2018PECOS Enrolled
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 288-4329(601) 288-3191 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2021, Jul 16, 2018, Jun 11, 2018 (3 updates tracked since 2018).

About Destiney Lee Fnp-c NPPES

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

DESTINEY LEE FNP-C (NPI 1114410537) is an individual nurse practitioner in Hattiesburg, Mississippi, licensed in Mississippi (902661) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114410537
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDESTINEY LEECredential: FNP-C
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 288-4329 · Fax (601) 579-5463
Fax(601) 288-3191
Sole ProprietorNo
Enumeration DateJune 11, 2018
Last NPPES UpdateJanuary 27, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1114410537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · 902661
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

415 S 28TH AVE, Hattiesburg, MS 39401

Other Identifiers 1

Medicaid07335768MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Destiney Lee Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39401 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

Family Medicine (Sports Medicine)
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Occupational Therapist
415 S 28TH AVE
HATTIESBURG, MS 39401
Psychologist
415 S 28TH AVE
HATTIESBURG, MS 39401
Family Medicine
415 S 28TH AVE
HATTIESBURG, MS 39401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114410537, enumerated as an "individual" on June 11, 2018.

The provider is located at 415 S 28TH AVE HATTIESBURG, MS 39401 and the phone number is (601) 288-4329.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.