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GRACE LEE AGNP-C
NPI 1154168979
Nurse Practitioner - Adult Health in New York, NY

Active since July 10, 2024PECOS EnrolledAccepts Medicare Assignment
5030 BROADWAY, NEW YORK, NY 10034(718) 412-3445 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Lee Agnp-c NPPES

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

GRACE LEE AGNP-C (NPI 1154168979) is an individual adult health provider in New York, New York, licensed in New York (311775) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of City University Of New York School Of Medicine (2024).

NPPES Registry Identity

NPI1154168979
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGRACE LEECredential: AGNP-C
Location Address5030 BROADWAYNew York, NY 10034-1609
Mailing Address5030 BroadwayNew York, NY 10034-1609 · (718) 412-3445
Phone(718) 412-3445
Sole ProprietorYes
Medical School CMSCity University Of New York School Of MedicineGraduated 2024
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1154168979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 311775
5030 BROADWAY, New York, NY 10034
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Lee Agnp-c 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 ID7416496260
PECOS Enrollment IDI20240826001239
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 10034 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

MS. ELECTRA PETRA OTR
Occupational Therapist (Pediatrics)
5030 BROADWAY, SUITE 809
NEW YORK, NY 10034
New York County (212) 304-0400
NEURO-PSYCHOLOGY PRACTICE PLLC
Clinical Neuropsychologist
5030 BROADWAY, SUITE 809
NEW YORK, NY 10034
New York County (800) 240-1038
DR. JONATHAN MAX RIEBER MD
Internal Medicine (Gastroenterology)
5030 BROADWAY, SUITE 707
NEW YORK, NY 10034
New York County (718) 412-3445
IVELISSE DYSON
Psychologist (Counseling)
5030 BROADWAY
NEW YORK, NY 10034
New York County (646) 470-0639
HANS BERNIER LMSW
Social Worker
5030 BROADWAY, SUITE 201
NEW YORK, NY 10034
New York County (212) 795-9888
MELIDA PEREZ
Social Worker
5030 BROADWAY
NEW YORK, NY 10034
New York County (347) 323-2475
KATIUSKA PENA
Specialist
5030 BROADWAY
NEW YORK, NY 10034
New York County (212) 795-9888
JENNIFER OH L.AC
Acupuncturist
5030 BROADWAY, SUITE 663
NEW YORK, NY 10034
New York County (917) 816-3019

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 Grace Lee's NPI number?

The NPI number for Grace Lee is 1154168979. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Grace Lee located?

Grace Lee practices at 5030 Broadway, New York, NY 10034. The listed phone number is (718) 412-3445.

What is Grace Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Grace Lee enrolled in Medicare?

Yes. Grace 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.

When was this NPI record last updated?

The NPPES record for Grace Lee was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.