Ellen Diana Klee, NP
Nurse Practitioner, Adult Health in Medford, MA. Individual provider (NPI-1).
NPI number1013206572
StatusActive
Last updated in NPPESApr 10, 2013
Details
- NPI
- 1013206572
- Entity type
- Individual (NPI-1)
- Name
- Ellen Diana Klee
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2011
- Last updated
- Apr 10, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | RN265967 | MA | Yes |
Practice location
170 Governors AveLawrence Memorial Hospital-Diabetes Center
Medford, MA 02155-1643
Phone 781-306-6370 · Fax 781-306-6375
Mailing address
170 Governors AveLawrence Memorial Hospital-Diabetes Center
Medford, MA 02155-1643
Phone 781-306-6370 · Fax 781-306-6375
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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