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ALEXANDRA MINJUNG LEE MSN PMHNP
NPI 1104638212
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA

Active since January 24, 2025PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexandra Minjung Lee Msn Pmhnp NPPES

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

ALEXANDRA MINJUNG LEE MSN PMHNP (NPI 1104638212) is an individual psychiatric/mental health provider in Irvine, California, licensed in California (95033670) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104638212
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALEXANDRA MINJUNG LEECredential: MSN PMHNP
Location Address43 FRESCOIrvine, CA 92603-4103
Mailing Address43 FrescoIrvine, CA 92603-4103 · (484) 222-1952
Phone(484) 222-1952
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1104638212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95033670
43 FRESCO, Irvine, CA 92603
Open in Google Maps ↗

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

Alexandra Minjung Lee Msn Pmhnp 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.

PECOS PAC ID4385165901
PECOS Enrollment IDI20250311002525
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 Reassignments

3

Medicare enrollment records show Alexandra Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Senior Doc Integrated Med, PC
9.1 mi
Family Medicine
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
NPI 1396526026 (855) 434-7763
Morante Psychiatric Nursing PC
34 mi
Psychiatric/Mental Health
11900 AVALON BLVD STE B
Los Angeles, CA 90061
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1184326944 (888) 783-1883
Flatow Medical Corporation Apc
36 mi
Psychiatry
4840 MINDORA DR
Torrance, CA 90505
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1659970333 (562) 279-0180

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 92603 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 Alexandra Lee's NPI number?

The NPI number for Alexandra Lee is 1104638212. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Alexandra Lee located?

Alexandra Lee practices at 43 Fresco, Irvine, CA 92603. The listed phone number is (484) 222-1952.

What is Alexandra Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alexandra Lee enrolled in Medicare?

Yes. Alexandra 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 organizations bill Medicare for Alexandra Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Lee reassigns Medicare benefits to 3 organizations: Senior Doc Integrated Med, PC (Santa Ana, CA), Morante Psychiatric Nursing PC (Los Angeles, CA) and Flatow Medical Corporation Apc (Torrance, CA). Each 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 Alexandra 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 Alexandra Lee was last updated on January 24, 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.