JOHN ALEXIS TY LEE ARNP
NPI 1528411071
Nurse Practitioner - Acute Care in Sacramento, CA

Active since July 20, 2016PECOS Enrolled
2815 STOCKTON BOULEVARD, SACRAMENTO, CA 95817(407) 712-3203 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Jan 16, 2019 (2 updates tracked since 2019).

About John Alexis Ty Lee Arnp NPPES

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

JOHN ALEXIS TY LEE ARNP (NPI 1528411071) is an individual acute care provider in Sacramento, California, licensed in California (95008205) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528411071
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHN ALEXIS TY LEECredential: ARNP
Location Address2815 STOCKTON BOULEVARDSacramento, CA 95817-2201
Mailing Address2815 Stockton BoulevardSacramento, CA 95817-2201 · (407) 712-3203
Sole ProprietorNo
Enumeration DateJuly 20, 2016
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1528411071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · 95008205
2815 STOCKTON BOULEVARD, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Alexis Ty Lee Arnp 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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 John Alexis Lee's NPI number?

The NPI number for John Alexis Lee is 1528411071. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is John Alexis Lee located?

John Alexis Lee practices at 2815 Stockton Boulevard, Sacramento, CA 95817. The listed phone number is (407) 712-3203.

What is John Alexis Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Alexis Lee enrolled in Medicare?

Yes. John Alexis Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Alexis Lee was last updated on August 11, 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.