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KYUNG JIN LEE F.N.P.
NPI 1154671329
Nurse Practitioner in Fort Worth, TX

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
923 PENNSYLVANIA AVE., SUITE 100, FORT WORTH, TX 76104(817) 920-0484(817) 920-0068 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyung Jin Lee F.n.p. NPPES

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

KYUNG JIN LEE F.N.P. (NPI 1154671329) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (825423) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154671329
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKYUNG JIN LEECredential: F.N.P.
Location Address923 PENNSYLVANIA AVE., SUITE 100Fort Worth, TX 76104-2254
Mailing AddressP. O. Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400 · Fax (817) 920-0068
Phone(817) 920-0484
Fax(817) 920-0068
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2012
✔ NPI 1154671329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 825423
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.
923 PENNSYLVANIA AVE., SUITE 100, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Kyung Jin Lee F.n.p. 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 ID4789835422
PECOS Enrollment IDI20121106000617
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services131 patients
Exam of the nose and throat using an endoscope 92511
An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.
98 services67 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
60 services32 patients
Exam of windpipe and lung airways through permanent windpipe opening using an endoscope 31615
This procedure involves examining your windpipe and lung airways through a permanent opening in your windpipe. An endoscope, a thin tube with a light and camera, is used to visualize these areas. The goal is to diagnose or monitor conditions affecting your respiratory system.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON LEIGH THOMPSON KHAN SLP
Speech-Language Pathologist
923 PENNSYLVANIA AVE., SUITE 100
FORT WORTH, TX 76104
Tarrant County (817) 920-0484

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 Kyung Lee's NPI number?

The NPI number for Kyung Lee is 1154671329. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Kyung Lee located?

Kyung Lee practices at 923 Pennsylvania Ave., Suite 100, Fort Worth, TX 76104. The listed phone number is (817) 920-0484.

What is Kyung Lee's specialty?

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

Is Kyung Lee enrolled in Medicare?

Yes. Kyung 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.

What insurance does Kyung Lee accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kyung Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyung Lee was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.