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

Nicole Lee

Individual provider Gerontology Nurse Practitioner · NPI 1558994947

Nicole Lee is a Nurse Practitioner in Richardson, Texas. Qualified in 2019, 7 years ago. Practices with Plaid Eagle Medical PLLC, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636
Phone: (800) 640-3451
Show map & directions

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

Additional practice locations (1)

  • 3531 Town Center Blvd S Ste 101, Sugar Land, TX 77479-2591 — (281) 491-3225

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 906654 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 906654 (TX)

Record details

NPI number1558994947
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2020
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing addressPo Box 1200, Pleasant Grove, UT 84062-1200

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Plaid Eagle Medical Pllc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Richardson