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KHAMPHAI LEE DNP-FNP
NPI 1780532630
Nurse Practitioner - Family in Green Bay, WI

Active since March 17, 2026PECOS Enrolled
1676 MAIN ST, GREEN BAY, WI 54302(920) 327-1565 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khamphai Lee Dnp-fnp NPPES

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

KHAMPHAI LEE DNP-FNP (NPI 1780532630) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (17854-33) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780532630
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKHAMPHAI LEECredential: DNP-FNP
Location Address1676 MAIN STGreen Bay, WI 54302-2636
Mailing Address1676 Main StGreen Bay, WI 54302-2636 · (920) 327-1565
Phone(920) 327-1565
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1780532630 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 WI · 17854-33
1676 MAIN ST, Green Bay, WI 54302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khamphai Lee Dnp-fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597231381
PECOS Enrollment IDI20260420000639
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 54302 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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

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

UCARE HOME SERVICES LLC
In Home Supportive Care
1676 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 327-1565

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 Khamphai Lee's NPI number?

The NPI number for Khamphai Lee is 1780532630. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Khamphai Lee located?

Khamphai Lee practices at 1676 Main St, Green Bay, WI 54302. The listed phone number is (920) 327-1565.

What is Khamphai Lee's specialty?

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

Is Khamphai Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Khamphai Lee was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.