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MICHELLE LEE
NPI 1528646395
Pediatrics in Jamaica Plain, MA

Active since March 31, 2021PECOS Enrolled
75 BICKFORD ST, JAMAICA PLAIN, MA 02130(617) 971-2100 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2024, Jul 19, 2024, Mar 31, 2021 (3 updates tracked since 2021).

About Michelle Lee NPPES

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

MICHELLE LEE (NPI 1528646395) is an individual pediatrics provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (1020235) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1528646395
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELLE LEE
Location Address75 BICKFORD STJamaica Plain, MA 02130-1401
Mailing Address75 Bickford StJamaica Plain, MA 02130-1401 · (617) 971-2100
Phone(617) 971-2100
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1528646395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 1020235
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
75 BICKFORD ST, Jamaica Plain, MA 02130
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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115 · Phone (617) 355-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Lee 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Pediatric Associates, Inc
0.9 mi
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
NPI 1457306664 (617) 355-6000
Internal Medical Associates-Ebnhc
4.6 mi
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 577 clinicians in this Medicare group
NPI 1558481879 (617) 569-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

ELISE BLOCK GOTTESMAN LICSW
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2100
CAITLIN MARIE DACEY RN, CPNP
Nurse Practitioner (Pediatrics)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2100
YAMILEX GONZALEZ BAEZ
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2100
GABRIELA TEW MSW, LICSW
Social Worker (Clinical)
75 BICKFORD ST
BOSTON, MA 02130
Suffolk County (617) 971-2100
MS. BETHAN LOUISE JONES LICSW
Social Worker (Clinical)
75 BICKFORD ST
BOSTON, MA 02130
Suffolk County (617) 355-0547
MISS MANUELA LOPEZ FLOREZ
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 919-7216
DR. KIM A WILSON MD
Pediatrics
75 BICKFORD ST, MARTHA ELIOT HEALTH CENTER
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2312
MARY ELIZABETH WHITE
Developmental Therapist
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 971-2100

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 1528646395. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Michelle Lee located?

Michelle Lee practices at 75 Bickford St, Jamaica Plain, MA 02130. The listed phone number is (617) 971-2100.

What is Michelle Lee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michelle Lee enrolled in Medicare?

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

Which organizations bill Medicare for Michelle Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Lee reassigns Medicare benefits to 2 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA) and Internal Medical Associates-Ebnhc (East Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Lee accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Michelle Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Lee was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.