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MS. JAEHEE LEE FNP-BC
NPI 1003734872
Nurse Practitioner - Family in Los Angeles, CA

Active since July 08, 2026PECOS Enrolled
3170 SAWTELLE BLVD APT 304, LOS ANGELES, CA 90066(323) 381-8994 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jaehee Lee Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JAEHEE LEE FNP-BC (NPI 1003734872) is an individual family provider in Los Angeles, California, licensed in California (95040468) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1003734872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JAEHEE LEECredential: FNP-BC
Location Address3170 SAWTELLE BLVD APT 304Los Angeles, CA 90066-1460
Mailing Address3170 Sawtelle Blvd Apt 304Los Angeles, CA 90066-1460 · (323) 381-8994
Phone(323) 381-8994
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1003734872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95040468
3170 SAWTELLE BLVD APT 304, Los Angeles, CA 90066
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jaehee Lee Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173083847
PECOS Enrollment IDI20260901003889
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jaehee Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kdoc Inc
8.1 mi
Cardiovascular Disease
2727 W OLYMPIC BLVD STE 208
Los Angeles, CA 90006
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1477247435 (213) 908-6434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaehee Lee's NPI number?

The NPI number for Jaehee Lee is 1003734872. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Jaehee Lee located?

Jaehee Lee practices at 3170 Sawtelle Blvd Apt 304, Los Angeles, CA 90066. The listed phone number is (323) 381-8994.

What is Jaehee Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jaehee Lee enrolled in Medicare?

Yes. Jaehee Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaehee Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaehee Lee reassigns Medicare benefits to Kdoc Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaehee Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaehee Lee was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.