DR. KRISTIN LEE (MD) – Dermatology Physician, NPI 1073856498

DR. KRISTIN LEE (MD) is a healthcare provider. based in Roseville, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 75467 (MN). The NPI Number for DR. KRISTIN LEE (MD) is 1073856498

Main info

Female
13 Years Of Experience
Name
DR. KRISTIN LEE (MD)
NPI
1073856498
Phone
(651) 633-6883
Address
2720 Fairview Ave N Ste 200
Enumeration Date
3 April 2013
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6516336883
Graduation Year
2013 (13 years ago)
PAC ID
9436450830
Group Practice PAC ID
8123288156
Professional Enrollment ID
I20240227002086
Address ID
MN551131306RO2720XNXXX402

Contacts

Secure Messaging
klee213865@dulyhealthandcare.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness95
Years active:13State licenses:2Other names

419 DERMATOLOGY in MN

Provider Addresses for DR. KRISTIN LEE (MD)

  • 2720 Fairview Ave N Ste 200

    Roseville, MN 551131306

    Phone: (651) 633-6883

    Fax: (651) 331-3459

    Type: Location

  • 1801 S Highland Ave # L40

    Lombard, IL 601484932

    Phone: (630) 286-5050

    Type: Location

  • 259 E ERIE ST STE 2250

    CHICAGO, IL 606113264

    Phone: (312) 695-8106

    Fax: (312) 926-6165

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Mailing

  • 2720 FAIRVIEW AVE N STE 200

    ROSEVILLE, MN 551131306

    Phone: (651) 633-6883

    Fax: (651) 331-3459

    Type: Mailing

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606744932

    Phone: (304) 699-2006

    Type: Mailing

  • 1801 S HIGHLAND AVE # L40

    LOMBARD, IL 601484932

    Phone: (630) 286-5050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $368.

Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($132).

Total Amount

$368

General + Research + Ownership

Payments

5

Total payment records

General Amount

$368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2024-02-27

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
I20170926002706IDermatologyILTBD
I20240227002086IDermatologyMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes147139$0
99203New patient office or other outpatient visit, 30-44 minutes142142$0
17003Destruction of precancer skin growth, 2-14 growths10027$0
11102Biopsy of related skin growth, first growth8884$0
99204New patient office or other outpatient visit, 45-59 minutes6868$0
View full utilization report →

Insurance plans in this area (ZIP 55113)

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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: 8123288156View full group profile
NameSpecialtyState
D E R M A T O L O G YMN
Physician AssistantMN
Physician AssistantMN
Physician AssistantMN
P O D I A T R YWI
Physician AssistantMN
P A T H O L O G YIL
Physician AssistantMN
P A T H O L O G YCT
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What number should I use to identify DR. KRISTIN LEE (MD) for billing?
Administrative and clinical systems typically use NPI 1073856498 for DR. KRISTIN LEE (MD).
Is DR. KRISTIN LEE (MD)'s NPI status active today?
Active status means DR. KRISTIN LEE (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. KRISTIN LEE (MD) does?
Insurance directories may phrase it differently, but here DR. KRISTIN LEE (MD) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KRISTIN LEE (MD)?
The directory associates DR. KRISTIN LEE (MD) with Roseville, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export DR. KRISTIN LEE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.