JESSICA LEE MD
NPI 1518220235
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Jessica Lee's NPI number?

The NPI number for Jessica Lee is 1518220235. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Jessica Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lee was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 18, 2012PECOS EnrolledAccepts Medicare Assignment

2315 STOCKTON BLVD # OP512, SACRAMENTO, CA 95817(916) 734-2724 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Lee Md NPPES

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

JESSICA LEE MD (NPI 1518220235) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2012).

NPPES Registry Identity

NPI1518220235

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA LEECredential: MD

Location Address2315 STOCKTON BLVD # OP512Sacramento, CA 95817-2201

Mailing Address2315 Stockton Blvd # Op512Sacramento, CA 95817-2201 · (916) 734-2724

Phone(916) 734-2724

Sole ProprietorYes

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012

Enumeration DateJune 18, 2012

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1518220235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2315 STOCKTON BLVD # OP512, Sacramento, CA 95817

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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 and accepts Medicare assignment

Jessica Lee Md 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.

PECOS PAC ID941579494

PECOS Enrollment IDI20170627001689

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.

Other Providers at the Same Location NPPES 8

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

BRENDAN THELEN MD

Student in an Organized Health Care Education/Training Program