Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lee Shin Nicholson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1336364843

Mrs. Lee Shin Nicholson, FNP-BC is a Nurse Practitioner in Fort George G Meade, Maryland. Graduated from Georgetown University School of Medicine in 2004, 22 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
22
Trained at
Georgetown University School of Medicine
Licensed in
MD
In the registry since
2007
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081
Phone: (717) 878-5385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 — (240) 632-4293

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R136233 (MD)

Record details

NPI number1336364843
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort George G Meade