BETHANY LEE (CRNP) – Nurse Practitioner, NPI 1669064580

BETHANY LEE (CRNP) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-102680 (AL). The NPI Number for BETHANY LEE (CRNP) is 1669064580

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY LEE (CRNP)
NPI
1669064580
Phone
(251) 433-2642
Address
735 S WASHINGTON AVE
Enumeration Date
11 February 2021
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342910485
Graduation Year
2020 (6 years ago)
PAC ID
9739570185
Group Practice PAC ID
7416229406
Professional Enrollment ID
I20211220002044
Address ID
AL368697135PH1720XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for BETHANY LEE (CRNP)

  • 735 S WASHINGTON AVE

    MOBILE, AL 366031301

    Phone: (251) 433-2642

    Type: Mailing

  • 152 MERSHON ST

    FAIRHOPE, AL 365322137

    Phone: (251) 550-1444

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: UCB, Inc. ($19).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211220002044INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes920214$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10991$0
99497Advance care planning, first 30 minutes6864$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5820$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
View full utilization report →

Insurance plans in this area (ZIP 36603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416229406View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerTN
-AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I use this page to confirm BETHANY LEE (CRNP)'s NPI?
Yes. BETHANY LEE (CRNP) is listed with NPI 1669064580 in the public NPI dataset.
Does CMS list BETHANY LEE (CRNP) as active?
Yes — BETHANY LEE (CRNP) is active in the NPI listing used on this page.
What taxonomy line describes BETHANY LEE (CRNP)?
For research purposes, treat BETHANY LEE (CRNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does BETHANY LEE (CRNP) serve?
BETHANY LEE (CRNP)'s listing highlights Mobile, Alabama; more addresses can appear in NPPES.
Why does BETHANY LEE (CRNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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