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VIVIAN LEE
NPI 1124624945
Nurse Practitioner - Family in Saint Paul, MN

Active since December 07, 2020PECOS Enrolled
1040 GRAND AVE # 5161, SAINT PAUL, MN 55105(651) 224-2155 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vivian Lee NPPES

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

VIVIAN LEE (NPI 1124624945) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (7660) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124624945
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIVIAN LEE
Location Address1040 GRAND AVE # 5161Saint Paul, MN 55105-3001
Mailing Address1040 Grand Ave # 5161Saint Paul, MN 55105-3001
Phone(651) 224-2155
Sole ProprietorYes
Enumeration DateDecember 7, 2020
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1124624945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 7660
1040 GRAND AVE # 5161, Saint Paul, MN 55105
Open in Google Maps ↗

Other Identifiers 1

Other7660MN · Bon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian Lee 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.

Medicare Billing Reassignment

Medicare enrollment records show Vivian Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minnesota Behavioral Health PLLC
15 mi
Psychiatric/Mental Health
14300 NICOLLET CT STE 130
Burnsville, MN 55306
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group
NPI 1912685132 (952) 393-1772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55105 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Vivian Lee's NPI number?

The NPI number for Vivian Lee is 1124624945. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Vivian Lee located?

Vivian Lee practices at 1040 Grand Ave # 5161, Saint Paul, MN 55105. The listed phone number is (651) 224-2155.

What is Vivian Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vivian Lee enrolled in Medicare?

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

Which organization bills Medicare for Vivian Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Lee reassigns Medicare benefits to Minnesota Behavioral Health PLLC (Burnsville, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivian Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivian Lee accept?

Health plans from HealthPartners list Vivian 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 Vivian Lee was last updated on December 9, 2020. 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.