KINYA A LEE – Family Nurse Practitioner, NPI 1700564994

KINYA A LEE is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. F05230406 (MI). The NPI Number for KINYA A LEE is 1700564994

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KINYA A LEE
NPI
1700564994
Phone
(313) 595-3878
Address
325 E BOSTON BLVD
Enumeration Date
7 July 2023
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484539883
Graduation Year
2023 (3 years ago)
PAC ID
6608215991
Group Practice PAC ID
0244659092
Professional Enrollment ID
I20240419000702
Address ID
MI480855099TR1950XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KINYA A LEE

  • 325 E BOSTON BLVD

    DETROIT, MI 482021369

    Phone: (313) 595-3878

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Exact Sciences Corporation ($39).

Total Amount

$78

General + Research + Ownership

Payments

4

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2024-04-19

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
I20240419000702INurse PractitionerMITBD

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 48202)

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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: 0244659092View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
P O D I A T R YIL
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does KINYA A LEE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KINYA A LEE uses 1700564994.
Can I rely on KINYA A LEE being an active provider?
As of the registry snapshot, KINYA A LEE is marked active.
What healthcare role does KINYA A LEE hold?
Scheduling teams often label KINYA A LEE under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KINYA A LEE list a practice location?
Patients near Detroit, Michigan may find KINYA A LEE in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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