MR. AUDIE L LEE P.A.-C.
NPI 1972787695
Physician Assistant - Surgical in San Francisco, CA

Active since December 18, 2007PECOS EnrolledAccepts Medicare Assignment
2912 21ST AVE, SAN FRANCISCO, CA 94132(207) 632-0741 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2025, Oct 4, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Audie L Lee P.a.-c. NPPES

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

MR. AUDIE L LEE P.A.-C. (NPI 1972787695) is an individual surgical provider in San Francisco, California, licensed in California (PA19457) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1972787695
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. AUDIE L LEECredential: P.A.-C.
Location Address2912 21ST AVESan Francisco, CA 94132-1504
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 18, 2007
Last NPPES UpdateApril 8, 20254 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1972787695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA19457
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1413 (NV)
2912 21ST AVE, San Francisco, CA 94132

Other Identifiers 1

MedicaidGR0095280CA

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

Mr. Audie L Lee P.a.-c. 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 ID2365527231
PECOS Enrollment IDI20080317000668
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.

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 Audie Lee's NPI number?

The NPI number for Audie Lee is 1972787695. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Audie Lee located?

Audie Lee practices at 2912 21st Ave, San Francisco, CA 94132. The listed phone number is (207) 632-0741.

What is Audie Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Audie Lee enrolled in Medicare?

Yes. Audie 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.

When was this NPI record last updated?

The NPPES record for Audie Lee was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.