LEE MCDONALD DEFAZIO CRNP
NPI 1346439981
Nurse Practitioner - Family in Lake Ariel, PA

Q: What is Lee Defazio's NPI number?

The NPI number for Lee Defazio is 1346439981. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Q: What is Lee Defazio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lee Defazio was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 19, 2007PECOS Enrolled

62 INDUSTRIAL PARK RD, LAKE ARIEL, PA 18436(570) 689-7565(570) 689-4803 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Lee Mcdonald Defazio Crnp NPPES

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

LEE MCDONALD DEFAZIO CRNP (NPI 1346439981) is an individual family provider in Lake Ariel, Pennsylvania, licensed in Pennsylvania (SP009466) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346439981

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLEE MCDONALD DEFAZIOCredential: CRNP

Location Address62 INDUSTRIAL PARK RDLake Ariel, PA 18436-5606

Mailing Address1837 Fair AveHonesdale, PA 18431-2121 · (570) 253-5838 · Fax (570) 253-6678

Phone(570) 689-7565

Fax(570) 689-4803

Sole ProprietorNo

Enumeration DateOctober 19, 2007

Last NPPES UpdateMarch 17, 2018

✔ NPI 1346439981 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 PA · SP009466

62 INDUSTRIAL PARK RD, Lake Ariel, PA 18436

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Secondary Practice Locations 3

Location 11837 Fair AveHonesdale, PA 18431-2121 · Phone (570) 253-5838 ext. 124 · Fax (570) 253-6678

Location 2510 Route 6 and 209 Ste 103Milford, PA 18337-7615 · Phone (570) 296-4901 · Fax (570) 296-5480

Location 327B Woodlands DrWaymart, PA 18472-9366 · Phone (570) 488-9550 · Fax (570) 488-9553

Other Identifiers 4

Medicaid1025941780004PA

Medicaid1025941780001PA

Medicaid1025941780002PA

Medicaid1025941780003PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Mcdonald Defazio Crnp 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 18436 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers17 claims2,190 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers26 claims3,820 services$1.50 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers15 claims2,220 services$4.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC PRACTICES OF NORTHEASTERN PA

Clinic/Center (Rural Health)