SAWANEE LEE AGACNP
NPI 1063938710
Nurse Practitioner - Acute Care in Los Angeles, CA
About Sawanee Lee Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAWANEE LEE AGACNP (NPI 1063938710) is an individual acute care provider in Los Angeles, California, licensed in California (95006978) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
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
Sawanee Lee Agacnp 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 Sawanee Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Sawanee Lee's NPI number?
The NPI number for Sawanee Lee is 1063938710. It was assigned to this individual provider in the NPPES registry on August 15, 2017.
Where is Sawanee Lee located?
Sawanee Lee practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (800) 872-2273.
What is Sawanee Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Sawanee Lee enrolled in Medicare?
Yes. Sawanee 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 Sawanee Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sawanee Lee reassigns Medicare benefits to Usc Care Medical Group, 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 Sawanee 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 Sawanee Lee was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Sawanee Lee, AGACNP · NPI 1063938710
Acute Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 15, 2017.
## Identity
- **NPI:** 1063938710 (Entity type: Individual)
- **Enumerated:** August 15, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95006978 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 SAN PABLO ST, Los Angeles, CA 90033
- **Phone:** (800) 872-2273
## 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:** Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** September 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063938710) · Data from the CMS NPPES public registry.