NICOLE LEE – Gerontology Nurse Practitioner, NPI 1558994947
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for NICOLE LEE
12955 TRAIL HOLLOW DR
HOUSTON, TX 770793755
Phone: (615) 715-6284
Type: Mailing
874 YORKCHESTER DR APT 165
HOUSTON, TX 770793442
Phone: (615) 715-6284
Type: Mailing
3531 TOWN CENTER BLVD S STE 101
SUGAR LAND, TX 774792591
Phone: (281) 491-3225
Fax: (281) 491-1702
Type: Location
PO BOX 1200
PLEASANT GROVE, UT 840621200
Phone: (800) 640-3451
Type: Mailing
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 750802636
Phone: (800) 640-3451
Type: Location
3531 Town Center Blvd S Ste 101
Sugar Land, TX 774792591
Phone: (281) 491-3225
Fax: (281) 491-1702
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: 2020-05-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200513002916 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 1,755 | 34 | $0 |
| Q4253 | Zenith amniotic membrane, per square centimeter | 692 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 607 | 94 | $0 |
| 97610 | Therapy procedure using ultrasound | 264 | 39 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 236 | 43 | $0 |
Insurance plans in this area (ZIP 77079)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | TX |
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