NICOLE ERICA LEE (MD) – Family Medicine Physician, NPI 1790246833

NICOLE ERICA LEE (MD) is a healthcare provider. based in Dublin, Ohio. specializing in FAMILY PRACTICE, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 35.143603 (OH). The NPI Number for NICOLE ERICA LEE (MD) is 1790246833

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ERICA LEE (MD)
NPI
1790246833
Phone
Not provided
Address
PO BOX 7527
Enumeration Date
29 March 2019
Last Update Date
6 October 2023

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
6145669933
Graduation Year
2019 (7 years ago)
PAC ID
3678809530
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20230717002819
Address ID
OH432155369CO500XXSTXX424

Contacts

Secure Messaging
nlee349558@direct.ohiohealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

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Provider Addresses for NICOLE ERICA LEE (MD)

  • PO BOX 7527

    DUBLIN, OH 430170727

    Phone:

    Type: Mailing

  • Grant Medical Center, 111, South Grant Avenue, Discovery District, Columbus, Franklin, Ohio, 43215, United States

    COLUMBUS, OH 432154701

    Phone:

    Type: Mailing

  • 290, East Town Street, Discovery District, Columbus, Franklin, Ohio, 43215, United States

    COLUMBUS, OH 432154602

    Phone: (614) 566-8270

    Type: Location

  • 290 E Town St

    Columbus, OH 432154602

    Phone: (614) 566-8270

    Type: Location

  • 290 E TOWN ST

    COLUMBUS, OH 432154602

    Phone: (614) 788-5400

    Fax: (614) 788-5500

    Type: Mailing

  • 500 E MAIN ST STE 100

    COLUMBUS, OH 432155369

    Phone: (614) 566-9933

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Medtronic, Inc. ($34).

Total Amount

$107

General + Research + Ownership

Payments

6

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

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: 2023-07-17

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
I20230717002819IFamily PracticeOHTBD

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 43017)

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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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

Can I verify NICOLE ERICA LEE (MD) with an NPI only?
You can start verification with NPI 1790246833 for NICOLE ERICA LEE (MD), then check state licensing separately.
Does the file indicate NICOLE ERICA LEE (MD) is practicing under active NPI?
Directory data currently reports NICOLE ERICA LEE (MD) as active.
What is NICOLE ERICA LEE (MD)'s primary classification?
Family Medicine Physician is the headline specialty for NICOLE ERICA LEE (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE ERICA LEE (MD)?
NICOLE ERICA LEE (MD)'s geographic hint is Dublin, Ohio in our summary view.
Why does NICOLE ERICA LEE (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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