JOHANNA LEE (APRN) – Family Nurse Practitioner, NPI 1245962869

JOHANNA LEE (APRN) is a healthcare provider. based in Sparks, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 853287 (NV). The NPI Number for JOHANNA LEE (APRN) is 1245962869

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JOHANNA LEE (APRN)
NPI
1245962869
Phone
(775) 225-2811
Address
1691 GOLDDUST DR
Enumeration Date
30 June 2022
Last Update Date
24 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753290873
Graduation Year
2021 (5 years ago)
PAC ID
4385029354
Group Practice PAC ID
6507757572
Professional Enrollment ID
I20220913000848
Address ID
NV895112250RE5423XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for JOHANNA LEE (APRN)

  • 1691 GOLDDUST DR

    SPARKS, NV 894369327

    Phone: (775) 225-2811

    Type: Mailing

  • 5423 RENO CORPORATE DR

    RENO, NV 895112250

    Phone: (775) 329-0222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 133 Open Payments records for all available years, with a total value of $3,639.

Total Amount is formed as General ($3,639) + Research ($0) + Ownership ($0) = $3,639.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($219).

Total Amount

$3,639

General + Research + Ownership

Payments

133

Total payment records

General Amount

$3,639

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-09-13

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
I20220913000848INurse PractitionerNVTBD

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 89436)

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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: 6507757572View full group profile
NameSpecialtyState
-CA
H E M A T O L O G Y/ O N C O L O G YNV
Nurse PractitionerNV
Radiation OncologyNV
H E M A T O L O G Y/ O N C O L O G YNV
Hematology/Oncology, Internal MedicineNV
H E M A T O L O G Y/ O N C O L O G YNV
Nurse PractitionerNV
H E M A T O L O G Y/ O N C O L O G YNV
Diagnostic RadiologyNV

Reviews

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Frequently asked questions

Does JOHANNA LEE (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHANNA LEE (APRN) uses 1245962869.
Is JOHANNA LEE (APRN) listed as active for patients and plans?
The listing shows JOHANNA LEE (APRN) as active in the NPI system.
What is JOHANNA LEE (APRN)'s specialty?
The listing groups JOHANNA LEE (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JOHANNA LEE (APRN) on a map?
Expect Sparks, Nevada as a primary anchor for JOHANNA LEE (APRN) unless the record lists multiple sites.
Why does JOHANNA LEE (APRN) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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