SUSAN K LEE NP
NPI 1497750327
Nurse Practitioner - Family in Bloomington, IN

Q: What is Susan Lee's NPI number?

The NPI number for Susan Lee is 1497750327. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Susan Lee'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 Susan Lee was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 16, 2005PECOS Enrolled

995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401(812) 353-3060(812) 353-5228 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2022, Dec 17, 2020 (2 updates tracked since 2020).

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About Susan K Lee Np NPPES

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

SUSAN K LEE NP (NPI 1497750327) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71000426) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1497750327

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN K LEECredential: NP

Location Address995 S CLARIZZ BLVDBloomington, IN 47401-5588

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(812) 353-3060

Fax(812) 353-5228

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration

NPPES CertifiedAugust 26, 2022

✔ NPI 1497750327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71000426

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71000426A (IN)

995 S CLARIZZ BLVD, Bloomington, IN 47401

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Secondary Practice Location 1

Location 1326 S Woodscrest DrBloomington, IN 47401-5314 · Phone (812) 353-6888 · Fax (812) 269-3771

Other Identifiers 1

Medicaid200119700IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan K Lee Np 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 47401 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 15

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

MAHESH KUMAR SREEDASYAM MD

Family Medicine