DR. LEE THOMAS CHURCH (M.D.) – Emergency Medicine Physician, NPI 1235428889
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
343 HOSPITALIST in NV
Provider Addresses for DR. LEE THOMAS CHURCH (M.D.)
4700 Las Vegas Blvd N
4700 Las Vegas Blvd N
Nellis AFB, NV 891916600
Phone: (702) 653-8277
Type: Location
115 10th Ave NE
Deer River, MN 566368795
Phone: (218) 246-2900
Type: Location
60MDG/SGOF
101 Bodin Cir
Travis AFB, CA 945351800
Phone: (218) 259-8740
Type: Location
101 BODIN CIR
TRAVIS AFB, CA 94535
Phone:
Type: Mailing
PO BOX 143
COHASSET, MN 557210143
Phone:
Type: Mailing
118 E HASKELL ST
WINNEMUCCA, NV 894453299
Phone: (775) 623-5222
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: 2018-12-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160617001273 | I | Family Practice | NV | TBD |
| I20181224000096 | I | Hospitalist | MN | TBD |
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.
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 89191)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| - | AZ | |
| Family Practice | AL | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NV | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Diagnostic Radiology | WI | |
| Medical Oncology, Hematology | NV |
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