KYUSUN LEE
NPI 1174477434
Nurse Practitioner - Gerontology in Chattanooga, TN
About Kyusun Lee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYUSUN LEE (NPI 1174477434) is an individual gerontology provider in Chattanooga, Tennessee, licensed in Tennessee (40733) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Kyusun 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37421 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHATTANOOGA, TN 37421
CHATTANOOGA, TN 37421
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 Kyusun Lee's NPI number?
The NPI number for Kyusun Lee is 1174477434. It was assigned to this individual provider in the NPPES registry on February 24, 2026.
Where is Kyusun Lee located?
Kyusun Lee practices at 1751 Gunbarrel Rd, Chattanooga, TN 37421. The listed phone number is (423) 778-4830.
What is Kyusun Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kyusun Lee enrolled in Medicare?
Yes. Kyusun 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 Kyusun Lee was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kyusun Lee · NPI 1174477434
Gerontology physician in Chattanooga, Tennessee. Individual provider, active in the CMS NPPES registry since February 24, 2026.
## Identity
- **NPI:** 1174477434 (Entity type: Individual)
- **Enumerated:** February 24, 2026
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 40733 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1751 GUNBARREL RD, Chattanooga, TN 37421-7177
- **Phone:** (423) 778-4830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174477434) · Data from the CMS NPPES public registry.