HYE SUN LEE
NPI 1164246013
Nurse Practitioner - Family in Annandale, VA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Hye Sun Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Annandale, VA 22003
- Reassigned Medicare billing, District of Columbia enrollment
- 3 clinicians in this Medicare group
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 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.
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.
ANNANDALE, VA 22003
ANNANDALE, VA 22003
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.
Which organization bills Medicare for Hye Sun Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hye Sun Lee reassigns Medicare benefits to Peter D Kim MD PC (Annandale, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hye Sun Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Hye Sun Lee · NPI 1164246013
Family physician in Annandale, Virginia. Individual provider, active in the CMS NPPES registry since November 7, 2024.
## Identity
- **NPI:** 1164246013 (Entity type: Individual)
- **Enumerated:** November 7, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024190782 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4208 EVERGREEN LN, Annandale, VA 22003-3235
- **Phone:** (703) 642-2288
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peter D Kim MD PC (NPI 1134309685, Annandale, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164246013) · Data from the CMS NPPES public registry.