1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Nurse Practitioner
  6. NPI Profile

LEE WILLIAM ELGIN III MSN, CRNP, AGACNP-BC
NPI 1740796770
Nurse Practitioner - Family in St Augustine, FL

Active since December 28, 2017PECOS Enrolled
100 ARRICOLA AVE, ST AUGUSTINE, FL 32080(904) 825-4568 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2023, May 21, 2018, Dec 28, 2017 (3 updates tracked since 2017).

About Lee William Elgin Iii Msn, Crnp, Agacnp-bc NPPES

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

LEE WILLIAM ELGIN III MSN, CRNP, AGACNP-BC (NPI 1740796770) is an individual family provider in St Augustine, Florida, licensed in Florida (APRN11002556) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740796770
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEE WILLIAM ELGIN IIICredential: MSN, CRNP, AGACNP-BC
Location Address100 ARRICOLA AVESt Augustine, FL 32080-4515
Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198 · (904) 293-0299
Phone(904) 825-4568
Sole ProprietorYes
Enumeration DateDecember 28, 2017
Last NPPES UpdateJanuary 20, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1740796770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11002556
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1-108603 (AL)
100 ARRICOLA AVE, St Augustine, FL 32080
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee William Elgin Iii Msn, Crnp, Agacnp-bc 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

4

Medicare enrollment records show Lee Elgin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Doctors Intrastate LLC
Same address
Primary Care
100 ARRICOLA AVE
Saint Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 73 clinicians in this Medicare group
NPI 1568083889 (904) 825-4368
Roy H Hinman MD PA
Same address
Family Medicine
100 ARRICOLA AVENUE
St Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1649383845 (904) 825-4368
St. Augustine Foot & Ankle, Inc
3.9 mi
Specialist
1 SAINT JOHNS MEDICAL PARK DR
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1649409756 (904) 824-0869
Regional Medical Center Board
372 mi
Neurology
901 LEIGHTON AVE, SUITE 402
Anniston, AL 36207
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: The Health Care Authority Of The City Of Anniston
  • 66 clinicians in this Medicare group
NPI 1093189375 (256) 236-1303

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 32080 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 11

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

MAINLAND PHYSICIANS GROUP LLC
Family Medicine (Geriatric Medicine)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
WILLIAM D BERMEO PAC
Family Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
ODELAISYS ENRIQUEZ MD
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
V.I.P MD CARE LLC
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (954) 586-8058
MARSHALL POULIN APRN
Nurse Practitioner (Family)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
MR. EUGENE KINNALY P.A.
Physician Assistant (Medical)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4701
ISLAND DOCTORS INTRASTATE LLC
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
ECHO MANAGED CARE, LLC
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368

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 Lee Elgin's NPI number?

The NPI number for Lee Elgin is 1740796770. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Lee Elgin located?

Lee Elgin practices at 100 Arricola Ave, St Augustine, FL 32080. The listed phone number is (904) 825-4568.

What is Lee Elgin's specialty?

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

Is Lee Elgin enrolled in Medicare?

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

Which organizations bill Medicare for Lee Elgin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Elgin reassigns Medicare benefits to 4 organizations: Island Doctors Intrastate LLC (Saint Augustine, FL), Roy H Hinman MD PA (St Augustine, FL), St. Augustine Foot & Ankle, Inc (St Augustine, FL) and Regional Medical Center Board (Anniston, AL). 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 Lee Elgin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Elgin was last updated on January 20, 2023. 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.