MRS. THERESA CAROL LEE FNP-C
NPI 1619518453
Nurse Practitioner - Family in Englewood, NJ

Active since October 02, 2019PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
420 GRAND AVE STE 101, ENGLEWOOD, NJ 07631(201) 569-7044 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Theresa Carol Lee Fnp-c NPPES

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

MRS. THERESA CAROL LEE FNP-C (NPI 1619518453) is an individual family provider in Englewood, New Jersey, licensed in New Jersey (26NJ00967900) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619518453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA CAROL LEECredential: FNP-C
Location Address420 GRAND AVE STE 101Englewood, NJ 07631-4141
Mailing Address333 Willow St Apt 404Teaneck, NJ 07666-4068 · (847) 877-6172
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 2, 2019
NPI 1619518453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ00967900
420 GRAND AVE STE 101, Englewood, NJ 07631

Accepted Insurance

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

Mrs. Theresa Carol Lee Fnp-c 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 ID3870920242
PECOS Enrollment IDI20200224002933
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
420 GRAND AVE STE 101
ENGLEWOOD, NJ 07631
Nurse Practitioner (Primary Care)
420 GRAND AVE STE 101
ENGLEWOOD, NJ 07631
Nurse Practitioner (Family)
420 GRAND AVE STE 101
ENGLEWOOD, NJ 07631

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 Theresa Lee's NPI number?

The NPI number for Theresa Lee is 1619518453. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Theresa Lee located?

Theresa Lee practices at 420 Grand Ave Ste 101, Englewood, NJ 07631. The listed phone number is (201) 569-7044.

What is Theresa Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Lee enrolled in Medicare?

Yes. Theresa Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Lee accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Theresa 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.

Is Theresa Lee affiliated with any hospitals?

According to CMS data, Theresa Lee is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Lee was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.