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MICHELLE JADE LEE PA-C
NPI 1396459988
Physician Assistant - Medical in New York, NY

Active since January 09, 2023PECOS Enrolled
1090 AMSTERDAM AVE STE 10A, NEW YORK, NY 10025(212) 523-4706(212) 523-4720 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 14, 2025, Jan 9, 2023 (2 updates tracked since 2023).

About Michelle Jade Lee Pa-c NPPES

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

MICHELLE JADE LEE PA-C (NPI 1396459988) is an individual medical provider in New York, New York, licensed in New York (029287) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396459988
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE JADE LEECredential: PA-C
Location Address1090 AMSTERDAM AVE STE 10ANew York, NY 10025-1737
Mailing Address1 Gustave L Levy Pl Dept Box 1259New York, NY 10029-6504 · (212) 241-6500
Phone(212) 523-4706
Fax(212) 523-4720
Sole ProprietorNo
Enumeration DateJanuary 9, 2023
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1396459988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 029287
1090 AMSTERDAM AVE STE 10A, New York, NY 10025
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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)

Michelle Jade Lee Pa-c 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 Michelle Lee's NPI number?

The NPI number for Michelle Lee is 1396459988. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Michelle Lee located?

Michelle Lee practices at 1090 Amsterdam Ave Ste 10A, New York, NY 10025. The listed phone number is (212) 523-4706.

What is Michelle Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michelle Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Lee was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.