CONNERY LEE (FNP) – Family Nurse Practitioner, NPI 1124294145

CONNERY LEE (FNP) is a healthcare provider. based in Garden grove, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN 614482 (CA). The NPI Number for CONNERY LEE (FNP) is 1124294145

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
CONNERY LEE (FNP)
NPI
1124294145
Phone
(714) 898-8888
Address
7761 GARDEN GROVE BLVD
Enumeration Date
30 April 2008
Last Update Date
28 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6616352950
Graduation Year
2007 (19 years ago)
PAC ID
6901951615
Group Practice PAC ID
7810887205
Professional Enrollment ID
I20090902000140
Address ID
CA933073871BA1600XTERX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for CONNERY LEE (FNP)

  • 7761 GARDEN GROVE BLVD

    GARDEN GROVE, CA 928414200

    Phone: (714) 898-8888

    Fax: (714) 901-7580

    Type: Location

  • Pioneer Boulevard, Hawaiian Gardens, Los Angeles County, California, 90716, United States

    HAWAIIAN GARDENS, CA 907162604

    Phone: (562) 865-3644

    Fax: (562) 924-3860

    Type: Location

  • 21520 Pioneer Blvd Ste 110

    Hawaiian Gardens, CA 907162604

    Phone: (562) 865-3644

    Fax: (562) 924-3860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-02

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
I20090902000140INurse PractitionerCATBD

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
90792Psychiatric diagnostic evaluation with medical services9152$0
99212Established patient office or other outpatient visit, 10-19 minutes3826$0
99213Established patient office or other outpatient visit, 20-29 minutes3528$0
99214Established patient office or other outpatient visit, 30-39 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 92841)

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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: 7810887205View full group profile
NameSpecialtyState
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
P S Y C H I A T R YCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
P S Y C H I A T R YCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Does CONNERY LEE (FNP) have a public NPI I can cite?
Public records show CONNERY LEE (FNP) under NPI 1124294145.
Is CONNERY LEE (FNP) currently accepting referrals based on NPI status?
Registry metadata lists CONNERY LEE (FNP) as active.
Which specialty label fits CONNERY LEE (FNP)?
NPPES ties CONNERY LEE (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit CONNERY LEE (FNP) in Garden Grove, California?
For routing, start with Garden Grove, California for CONNERY LEE (FNP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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