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HEATHER T. LEE APN, GCNS-BC
NPI 1942249743
Nurse Practitioner in Knoxville, TN

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
5112 MALIBU DRIVE, KNOXVILLE, TN 37918(865) 804-5306(865) 689-1981 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather T. Lee Apn, Gcns-bc NPPES

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

HEATHER T. LEE APN, GCNS-BC (NPI 1942249743) is an individual nurse practitioner in Knoxville, Tennessee, licensed in Tennessee (APN7432) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1996).

NPPES Registry Identity

NPI1942249743
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER T. LEECredential: APN, GCNS-BC
Location Address5112 MALIBU DRIVEKnoxville, TN 37918
Mailing AddressPo Box 5649Knoxville, TN 37928 · (865) 804-5306 · Fax (865) 689-1981
Phone(865) 804-5306
Fax(865) 689-1981
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1996
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 23, 2009
✔ NPI 1942249743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TN · APN7432✔ Licensed in TN · RN0000110919
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5112 MALIBU DRIVE, Knoxville, TN 37918
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Other Identifiers 6

OtherTN0106TN · John Deere
Medicare UPINS60034TN
Medicare UPINS60034
Medicare PIN3347074TN
Other4042440TN · Blue Cross
Medicaid3347074TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Heather T. Lee Apn, Gcns-bc 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 ID5496832412
PECOS Enrollment IDI20080401000710
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes 99336
This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.
86 services50 patients
Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes 99335
This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.
58 services40 patients
Established patient custodial care facility, group care, or assisted living visit, typically 1 hour 99337
This service involves a healthcare professional visiting an established patient in a group care facility or assisted living for about an hour. The visit may include health checks, medication management, and addressing any health concerns to maintain the patient's well-being.
43 services35 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
22 services19 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
19 services14 patients
New patient custodial care facility, group care, or assisted living visit, typically 1 hour 99327
This service involves a one-hour visit for a new patient at a custodial care facility, group care home, or assisted living facility. During this time, a healthcare professional will assess the patient's health condition, discuss care plans, and address any concerns the patient may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37918 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.71 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Heather Lee's NPI number?

The NPI number for Heather Lee is 1942249743. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Heather Lee located?

Heather Lee practices at 5112 Malibu Drive, Knoxville, TN 37918. The listed phone number is (865) 804-5306.

What is Heather Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Lee enrolled in Medicare?

Yes. Heather 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 Heather Lee accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Heather 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 Heather Lee affiliated with any hospitals?

According to CMS data, Heather Lee is affiliated with Methodist Medical Center Of Oak Ridge.

When was this NPI record last updated?

The NPPES record for Heather Lee was last updated on November 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.