MRS. LAURA P LEE (PA-C) – Medical Physician Assistant, NPI 1124019286
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. LAURA P LEE (PA-C)
1111, North State Street, Monticello, Piatt County, Illinois, 61856, United States
MONTICELLO, IL 618561151
Phone: (217) 762-2115
Fax: (217) 762-6165
Type: Mailing
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203909
Phone: (217) 366-6162
Fax: (217) 366-5642
Type: Mailing
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 618223743
Phone: (217) 366-6162
Fax: (217) 366-5642
Type: Location
803 ILLINI DRIVE
CLINTON, IL 61727
Phone: (217) 935-7037
Fax: (217) 935-7047
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $223.
Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Lilly USA, LLC ($106).
Total Amount
$223
General + Research + Ownership
Payments
11
Total payment records
General Amount
$223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $106 |
| Novo Nordisk Inc | $94 |
| ReShape Lifesciences Inc. | $23 |
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: 2004-02-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040217001097 | I | Physician Assistant | IL | 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 61856)
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Reviews
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