MELISSA KAY LEE (FNP-C) – Nurse Practitioner, NPI 1679920052

MELISSA KAY LEE (FNP-C) is a healthcare provider. based in Alton, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 209.014346 (IL). The NPI Number for MELISSA KAY LEE (FNP-C) is 1679920052

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA KAY LEE (FNP-C)
NPI
1679920052
Phone
(618) 304-3734
Address
1 Memorial Dr
Enumeration Date
16 May 2016
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186193330
Graduation Year
2015 (11 years ago)
PAC ID
6406135656
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20170201000169
Address ID
IL620352510GO5213XRDXX301

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
mlee347905@ewd.direct.hshs.org
FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:10State licenses:2Other names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MELISSA KAY LEE (FNP-C)

  • 1 Memorial Dr

    Alton, IL 620026722

    Phone: (618) 304-3734

    Type: Location

  • 163 E Bethalto Dr

    Bethalto, IL 620101801

    Phone: (618) 433-6640

    Type: Location

  • PO BOX 959203

    SAINT LOUIS, MO 631951799

    Phone: (618) 619-3330

    Fax: (618) 619-3390

    Type: Mailing

  • 1215 Franciscan Dr

    Litchfield, IL 620561799

    Phone: (217) 324-8791

    Fax: (217) 324-8670

    Type: Location

  • 205, Virginia Street, Bethalto, Madison County, Illinois, 62010, United States

    BETHALTO, IL 620101233

    Phone: (618) 304-3734

    Type: Mailing

  • Alton Memorial Hospital, 1, Memorial Drive, Alton, Madison County, Illinois, 62002, United States

    ALTON, IL 620026722

    Phone: (618) 304-3734

    Type: Location

  • 1215 FRANCISCAN DR

    LITCHFIELD, IL 620561799

    Phone: (217) 324-8791

    Fax: (217) 324-8670

    Type: Mailing

  • 5213 GODFREY RD STE 110

    GODFREY, IL 620352510

    Phone: (618) 619-3330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $919.

Total Amount is formed as General ($919) + Research ($0) + Ownership ($0) = $919.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Organogenesis Inc. ($544).

Total Amount

$919

General + Research + Ownership

Payments

34

Total payment records

General Amount

$919

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2017-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161111000454INurse PractitionerMOTBD
I20170201000169INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62002)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

What unique ID ties claims to MELISSA KAY LEE (FNP-C)?
NPI 1679920052 is assigned to MELISSA KAY LEE (FNP-C) under the national enumeration system.
Does this profile mean MELISSA KAY LEE (FNP-C) is currently active?
Yes — MELISSA KAY LEE (FNP-C) appears active in the national provider directory.
What does MELISSA KAY LEE (FNP-C) treat or focus on?
Patients typically see MELISSA KAY LEE (FNP-C) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MELISSA KAY LEE (FNP-C)?
The page summarizes Alton, Illinois for MELISSA KAY LEE (FNP-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.