Mrs Lee Shin Nicholson, FNP-BC in Fort George G Meade, MD

Mrs Lee Shin Nicholson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fort George G Meade, Maryland. She went to Georgetown University School Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and her current practice location is 2480 Llewellyn Ave, Fort George G Meade, Maryland. You can reach out to her office (for appointments etc.) via phone at (717) 878-5385.

Mrs Lee Shin Nicholson is licensed to practice in Maryland (license number R136233) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336364843.

Contact Information

	Mrs Lee Shin Nicholson, FNP-BC
	2480 Llewellyn Ave, Fort George G Meade, MD 20755-7081
	(717) 878-5385
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lee Shin Nicholson
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	2480 Llewellyn Ave, Fort George G Meade, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lee Shin Nicholson attended and graduated from Georgetown University School Of Medicine in 2004

NPI Data:

NPI Number: 1336364843
Provider Enumeration Date: 04/17/2007
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 9436239670
Enrollment ID: I20090223000529

Medical Identifiers

Medical identifiers for Mrs Lee Shin Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336364843	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R136233 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc	3779495858	1793

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lee Shin Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lee Shin Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Lee Shin Nicholson, FNP-BC 2480 Llewellyn Ave, Fort George G Meade, MD 20755-7081 Ph: () -	Mrs Lee Shin Nicholson, FNP-BC 2480 Llewellyn Ave, Fort George G Meade, MD 20755-7081 Ph: (717) 878-5385

Reviews and Comments

Nurse Practitioner Nurses in Fort George G Meade, MD

Catherine Ann Laugesen, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9800 Savage Rd, Suite 6404, Fort George G Meade, MD 20755 Phone: 410-744-0898 Fax: 410-744-2007
Ms. Katherine Robinson French, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9800 Savage Rd Ste 6404, Fort George G Meade, MD 20755 Phone: 301-688-7264 Fax: 443-479-3325
Yenny Cook, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 301-677-8800 Fax: 301-677-8957
Christopher D Brett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 301-677-8145 Fax: 301-677-8176
Rikkina Pulliam, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Kimbrough Ambulatory Care Center Blue Team, Fort George G Meade, MD 20755 Phone: 301-677-8897 Fax: 301-677-8299
Dr. Deborah E Jones, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort George G Meade, MD 20755 Phone: 301-677-8112

Mrs Lee Shin Nicholson, FNP-BC - Medicare Nurse Practitioner in Fort George G Meade, MD