MRS. JENNIFER KIM LEE
NPI 1174571491
Specialist in Anaheim, CA
About Mrs. Jennifer Kim Lee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER KIM LEE (NPI 1174571491) is an individual specialist in Anaheim, California, licensed in California (A81453) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mrs. Jennifer Kim 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 Jennifer Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
ANAHEIM, CA 92806
ANAHEIM, CA 92806
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 Jennifer Lee's NPI number?
The NPI number for Jennifer Lee is 1174571491. It was assigned to this individual provider in the NPPES registry on May 5, 2006. The provider is also known as Dr. Jennifer Kim Lee M.D..
Where is Jennifer Lee located?
Jennifer Lee practices at 3430 E La Palma Ave Mob 2 Obgyn, Anaheim, CA 92806. The listed phone number is (714) 644-2560.
What is Jennifer Lee's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Jennifer Lee enrolled in Medicare?
Yes. Jennifer 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 Jennifer Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Lee reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). 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 Jennifer 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 Jennifer Lee was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Jennifer Kim Lee · NPI 1174571491
Specialist provider in Anaheim, California. Individual provider, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1174571491 (Entity type: Individual)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** A81453 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3430 E LA PALMA AVE, MOB 2 OBGYN, Anaheim, CA 92806-2020
- **Phone:** (714) 644-2560
## 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:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174571491) · Data from the CMS NPPES public registry.