LEE J GOTTHARDT FNP-BC
NPI 1902311319
Nurse Practitioner - Family in Newport News, VA

Active since December 07, 2017PECOS Enrolled
12655 WARWICK BLVD STE B, NEWPORT NEWS, VA 23606(757) 595-3570(757) 592-9280 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, Dec 7, 2017 (2 updates tracked since 2017).

About Lee J Gotthardt Fnp-bc NPPES

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

LEE J GOTTHARDT FNP-BC (NPI 1902311319) is an individual family provider in Newport News, Virginia, licensed in Virginia (0024175673) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902311319
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEE J GOTTHARDTCredential: FNP-BC
Location Address12655 WARWICK BLVD STE BNewport News, VA 23606-2501
Mailing Address860 Omni Blvd Ste 401Newport News, VA 23606-4430 · (757) 232-8860 · Fax (757) 232-8875
Fax(757) 592-9280
Sole ProprietorNo
Enumeration DateDecember 7, 2017
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1902311319 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 VA · 0024175673
12655 WARWICK BLVD STE B, Newport News, VA 23606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lee J Gotthardt Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

Pediatrics
12655 WARWICK BLVD STE B
NEWPORT NEWS, VA 23606
Pediatrics
12655 WARWICK BLVD STE B
NEWPORT NEWS, VA 23606

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 Gotthardt's NPI number?

The NPI number for Lee Gotthardt is 1902311319. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Lee Gotthardt located?

Lee Gotthardt practices at 12655 Warwick Blvd Ste B, Newport News, VA 23606. The listed phone number is (757) 595-3570.

What is Lee Gotthardt's specialty?

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

Is Lee Gotthardt enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lee Gotthardt was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.