DR. NIKOLAI LEE DC
NPI 1699378125
Chiropractor in Port Orange, FL

Active since November 18, 2020Accepts Medicare Assignment
209 DUNLAWTON AVE STE 18, PORT ORANGE, FL 32127(386) 308-9076 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2025, Dec 8, 2021, Nov 18, 2020 (3 updates tracked since 2020).

About Dr. Nikolai Lee Dc NPPES

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

DR. NIKOLAI LEE DC (NPI 1699378125) is an individual chiropractor in Port Orange, Florida, licensed in Florida (CH13305) and active in the NPI registry since November 2020. He is a graduate of Palmer College Chiropractic - Davenport (2020).

NPPES Registry Identity

NPI1699378125
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NIKOLAI LEECredential: DC
Location Address209 DUNLAWTON AVE STE 18Port Orange, FL 32127-4458
Mailing Address209 Dunlawton Ave Ste 18Port Orange, FL 32127-4458 · (386) 308-9076
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2020
Enumeration DateNovember 18, 2020
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1699378125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH13305
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
209 DUNLAWTON AVE STE 18, Port Orange, FL 32127

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nikolai Lee Dc 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 ID1254743461
PECOS Enrollment IDI20201211002298

Medicare Billing Reassignment

Medicare enrollment records show Nikolai Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
209 DUNLAWTON AVE STE 18
Port Orange, FL 32127
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

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

Chiropractor
209 DUNLAWTON AVE STE 18
PORT ORANGE, FL 32127
Chiropractor
209 DUNLAWTON AVE STE 18
PORT ORANGE, FL 32127

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 Nikolai Lee's NPI number?

The NPI number for Nikolai Lee is 1699378125. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Nikolai Lee located?

Nikolai Lee practices at 209 Dunlawton Ave Ste 18, Port Orange, FL 32127. The listed phone number is (386) 308-9076.

What is Nikolai Lee's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nikolai Lee enrolled in Medicare?

Yes. Nikolai 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.

Which organization bills Medicare for Nikolai Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikolai Lee reassigns Medicare benefits to Radiant Health Chiropractic LLC (Port Orange, FL). The 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 Nikolai Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikolai Lee accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Nikolai 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 Nikolai Lee was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.