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HYE SUN LEE
NPI 1164246013
Nurse Practitioner - Family in Annandale, VA

Active since November 07, 2024PECOS EnrolledAccepts Medicare Assignment
4208 EVERGREEN LN, ANNANDALE, VA 22003(703) 642-2288 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Nov 7, 2024 (2 updates tracked since 2024).

About Hye Sun Lee NPPES

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

HYE SUN LEE (NPI 1164246013) is an individual family provider in Annandale, Virginia, licensed in Virginia (0024190782) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164246013
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHYE SUN LEE
Location Address4208 EVERGREEN LNAnnandale, VA 22003-3235
Mailing Address4208 Evergreen LnAnnandale, VA 22003-3235 · (703) 642-2288
Phone(703) 642-2288
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 7, 2024
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1164246013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024190782
4208 EVERGREEN LN, Annandale, VA 22003
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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

Hye Sun Lee 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 ID9739675893
PECOS Enrollment IDI20251229002180
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 22003 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 11

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

PETER D KIM MD PC
Family Medicine
4208 EVERGREEN LN, SUITE 222
ANNANDALE, VA 22003
Fairfax County (703) 642-2288
ACUPUNCTURE INNAECHUN,INC
Acupuncturist
4208 EVERGREEN LN, SUITE 224
ANNANDALE, VA 22003
Fairfax County (703) 642-3300
CONNIE D. LE, M.D, P.C
Exclusive Provider Organization
4208 EVERGREEN LN, SUITE 214
ANNANDALE, VA 22003
Fairfax County (703) 642-6633
PETER D KIM M.D.
Family Medicine
4208 EVERGREEN LN, SUITE 222
ANNANDALE, VA 22003
Fairfax County (703) 642-2288
BEYOND BEHAVIORS, INC.
Counselor (Mental Health)
4208 EVERGREEN LN, SUITE #211
ANNANDALE, VA 22003
Fairfax County (703) 658-9300
MR. JE UN YOO L.AC,M.AC,DIP'L.AC
Acupuncturist
4208 EVERGREEN LN, SUITE 224
ANNANDALE, VA 22003
Fairfax County (703) 642-3300
DR. JOAN MARIE GONZALEZ MD
Family Medicine
4208 EVERGREEN LN
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
HELEN ROSARIO JARAMILLO GUTIERREZ DE ELLIOTT M.D.
Obstetrics & Gynecology
4208 EVERGREEN LN
ANNANDALE, VA 22003
Fairfax County (703) 642-7522

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 Hye Sun Lee's NPI number?

The NPI number for Hye Sun Lee is 1164246013. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Hye Sun Lee located?

Hye Sun Lee practices at 4208 Evergreen Ln, Annandale, VA 22003. The listed phone number is (703) 642-2288.

What is Hye Sun Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hye Sun Lee enrolled in Medicare?

Yes. Hye Sun 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 Hye Sun Lee was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.