JESSICA JEAN LEE MD
NPI 1124867692
Student in an Organized Health Care Education/Training Program in Canton, MI

Q: What is Jessica Lee's NPI number?

The NPI number for Jessica Lee is 1124867692. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Q: What is Jessica Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lee was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 23, 2024PECOS Enrolled

1051 N CANTON CENTER RD, CANTON, MI 48190(734) 539-5080 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jessica Jean Lee Md NPPES

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

JESSICA JEAN LEE MD (NPI 1124867692) is an individual student in an organized health care education/training program in Canton, Michigan, licensed in Michigan (4351052242) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124867692

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA JEAN LEECredential: MD

Location Address1051 N CANTON CENTER RDCanton, MI 48190

Mailing Address1200 E Hospital Dr D3230Ann Arbor, MI 48109 · (734) 647-1774

Phone(734) 539-5080

Sole ProprietorNo

Enumeration DateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1124867692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351052242

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1051 N CANTON CENTER RD, Canton, MI 48190

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Jean Lee Md 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.

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 Jessica Lee's NPI number?

The NPI number for Jessica Lee is 1124867692. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Jessica Lee located?

Jessica Lee practices at 1051 N Canton Center Rd, Canton, MI 48190. The listed phone number is (734) 539-5080.

What is Jessica Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Lee was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.