SOO JUNG LEE DNP, FNP-BC
NPI 1104640820
Nurse Practitioner in Raleigh, NC

Q: What is Soo Jung Lee's NPI number?

The NPI number for Soo Jung Lee is 1104640820. It was assigned to this individual provider in the NPPES registry on November 9, 2024.

Q: What is Soo Jung Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Soo Jung Lee was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since November 09, 2024PECOS Enrolled

3400 WAKE FOREST RD, RALEIGH, NC 27609(919) 954-3000 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2025, Nov 9, 2024 (2 updates tracked since 2024).

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About Soo Jung Lee Dnp, Fnp-bc NPPES

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

SOO JUNG LEE DNP, FNP-BC (NPI 1104640820) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (5021156) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104640820

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSOO JUNG LEECredential: DNP, FNP-BC

Location Address3400 WAKE FOREST RDRaleigh, NC 27609-7317

Mailing Address6401 Lakes Rock Dr Unit 319Raleigh, NC 27609-3251

Phone(919) 954-3000

Sole ProprietorNo

Enumeration DateNovember 9, 2024

Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1104640820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5021156

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License F354891 (NY), 5021156 (NC)

3400 WAKE FOREST RD, Raleigh, NC 27609

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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)

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

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

Medicare enrollment records show Soo Jung Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc

0.1 mi

Gastroenterology

3480 WAKE FOREST RD STE 500
Raleigh, NC 27609

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1780374884 (919) 862-5075

Duke University Health System, Inc.

22 mi

Social Worker

2213 ELBA ST
Durham, NC 27705

Reassigned Medicare billing, North Carolina enrollment
1,503 clinicians in this Medicare group

NPI 1497912232 (919) 684-0100

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 27609 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

NASH X-RAY ASSOCIATES PA

Specialist