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

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: July 26, 2026.

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

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Emergency Medicine
3400 WAKE FOREST RD
RALEIGH, NC 27609
Nurse Practitioner (Family)
3400 WAKE FOREST RD
RALEIGH, NC 27609
General Acute Care Hospital
3400 WAKE FOREST RD
RALEIGH, NC 27609
Internal Medicine
3400 WAKE FOREST RD
RALEIGH, NC 27609
Nurse Anesthetist, Certified Registered
3400 WAKE FOREST RD
RALEIGH, NC 27609
Radiology (Vascular & Interventional Radiology)
3400 WAKE FOREST RD
RALEIGH, NC 27609
Internal Medicine (Cardiovascular Disease)
3400 WAKE FOREST RD
RALEIGH, NC 27609
Physician Assistant
3400 WAKE FOREST RD
RALEIGH, NC 27609

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 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.

Where is Soo Jung Lee located?

Soo Jung Lee practices at 3400 Wake Forest Rd, Raleigh, NC 27609. The listed phone number is (919) 954-3000.

What is Soo Jung Lee's specialty?

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

Is Soo Jung Lee enrolled in Medicare?

Yes. Soo Jung Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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