MRS. LEE SHIN NICHOLSON FNP-BC
NPI 1336364843
Nurse Practitioner - Family in Fort George G Meade, MD
About Mrs. Lee Shin Nicholson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LEE SHIN NICHOLSON FNP-BC (NPI 1336364843) is an individual family provider in Fort George G Meade, Maryland, licensed in Maryland (R136233) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gaithersburg, and is a graduate of Georgetown University School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Lee Shin Nicholson Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Lee Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1952461816 (District of Columbia)
- 1,253 clinicians in this Medicare group
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 20755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT GEORGE G MEADE, MD 20755
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 Lee Nicholson's NPI number?
The NPI number for Lee Nicholson is 1336364843. It was assigned to this individual provider in the NPPES registry on April 17, 2007.
Where is Lee Nicholson located?
Lee Nicholson practices at 2480 Llewellyn Ave, Fort George G Meade, MD 20755. The listed phone number is (717) 878-5385.
What is Lee Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lee Nicholson enrolled in Medicare?
Yes. Lee Nicholson 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.
Which organization bills Medicare for Lee Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lee Nicholson reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Glen Burnie, MD). 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 Lee Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lee Nicholson was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Lee Shin Nicholson, FNP-BC · NPI 1336364843
Family physician in Fort George G Meade, Maryland. Individual provider, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1336364843 (Entity type: Individual)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R136233 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2480 LLEWELLYN AVE, Fort George G Meade, MD 20755-7081
- **Phone:** (717) 878-5385
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1285752121, Glen Burnie, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** April 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336364843) · Data from the CMS NPPES public registry.