JANE LEE – Psychiatric/Mental Health Nurse Practitioner, NPI 1194567677

JANE LEE is a healthcare provider. based in Kittanning, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP029878 (PA). The NPI Number for JANE LEE is 1194567677

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JANE LEE
NPI
1194567677
Phone
Not provided
Address
300 S JEFFERSON ST
Enumeration Date
6 June 2024
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7245432941
Graduation Year
2024 (2 years ago)
PAC ID
5294272944
Group Practice PAC ID
6002706736
Professional Enrollment ID
I20240731001337
Address ID
PA162012416KI300XXSTXX400
Telehealth
Yes
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

11,473 NURSE PRACTITIONER in PA

Provider Addresses for JANE LEE

  • 300 S JEFFERSON ST

    KITTANNING, PA 162012416

    Phone:

    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)

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: 2024-07-31

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
I20240731001337INurse PractitionerPATBD

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 16201)

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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: 6002706736View full group profile
NameSpecialtyState
Nurse PractitionerPA
Mental Health CounselorPA
Mental Health CounselorPA
-PA
Psychiatry, Geriatric PsychiatryPA
Mental Health CounselorPA
Nurse PractitionerPA
Nurse PractitionerPA
-PA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

Does JANE LEE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JANE LEE uses 1194567677.
Can I rely on JANE LEE being an active provider?
As of the registry snapshot, JANE LEE is marked active.
What healthcare role does JANE LEE hold?
Scheduling teams often label JANE LEE under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JANE LEE list a practice location?
Patients near Kittanning, Pennsylvania may find JANE LEE in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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