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, and ordering and referring status from the CMS PECOS system.
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.
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
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.
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 15 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
- **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.