KYUNG LEE PMHNP-BC
NPI 1053072355
Nurse Practitioner - Psychiatric/Mental Health in Tualitin, OR
About Kyung Lee Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYUNG LEE PMHNP-BC (NPI 1053072355) is an individual psychiatric/mental health provider in Tualitin, Oregon, licensed in Oregon (10034397) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyung Lee Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kyung Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kyung Lee's NPI number?
The NPI number for Kyung Lee is 1053072355. It was assigned to this individual provider in the NPPES registry on January 7, 2022. The provider is also known as Kyung Bob Lee Pmhnp-Bc.
Where is Kyung Lee located?
Kyung Lee practices at 18765 SW Boones Ferry Rd Suites 100, 125, 150, 300, 37, Tualitin, OR 97062. The listed phone number is (503) 612-1000.
What is Kyung Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kyung Lee enrolled in Medicare?
Yes. Kyung Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kyung Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyung Lee reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). 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 Kyung Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyung Lee accept?
Health plans from BridgeSpan Health Company, Cigna Healthcare, Kaiser Permanente, Moda Health Plan, Inc. and PacificSource Health Plans and 1 other insurer list Kyung Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyung Lee was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Kyung Lee, PMHNP-BC · NPI 1053072355
Psychiatric/Mental Health physician in Tualitin, Oregon. Individual provider, active in the CMS NPPES registry since January 7, 2022.
## Identity
- **NPI:** 1053072355 (Entity type: Individual)
- **Enumerated:** January 7, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10034397 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18765 SW BOONES FERRY RD SUITES 100, 125, 150, 300, 37, Tualitin, OR 97062
- **Phone:** (503) 612-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Western Psychological And Counseling Services LLC (NPI 1912008178, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053072355) · Data from the CMS NPPES public registry.