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

Q: What is Destiney Lee's NPI number?

The NPI number for Destiney Lee is 1114410537. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Q: What is Destiney Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Destiney Lee was last updated on January 27, 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.

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: August 16, 2026.

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

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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

Phone(601) 288-4329

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

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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.

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