HAEMI LEE PA
NPI 1215698006
Physician Assistant - Surgical in Tacoma, WA

NPI Status: Active since January 04, 2022

Contact Information

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405
Phone: (253) 272-7777
Fax: (253) 426-4142

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  • Individual
  • Female
  • Years of Experience 4
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About HAEMI LEE

This page provides the complete NPI Profile along with additional information for Haemi Lee, a provider established in Tacoma, Washington with a medical specialization in Physician Assistant, focusing in surgical and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1215698006 assigned on January 2022. The practitioner's primary taxonomy code is 363AS0400X with license number PA61621793 (WA). The provider is registered as an individual and her NPI record was last updated May 2025.

NPI
1215698006
Provider Name
HAEMI LEE PA
Gender
Female
Entity Type
Individual
Location Address
1802 YAKIMA AVE STE 102 TACOMA, WA 98405
Location Phone
(253) 272-7777
Location Fax
(253) 426-4142
Mailing Address
1802 YAKIMA AVE STE 102 TACOMA, WA 98405
Mailing Phone
(253) 272-7777
Mailing Fax
(253) 426-4142
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
01-04-2022
Last Update Date
05-02-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA61621793
License State
WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

028920 (NY)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA61621793 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2313830MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Haemi Lee is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Haemi Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2668849316

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250206003075

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Haemi Lee is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNITED HEALTH SERVICES HOSPITALS, INC10-42 MITCHELL AVENUE
BINGHAMTON, NY 13903
(607) 763-6000Acute Care Hospitals
ST JOSEPH MEDICAL CENTER1717 SOUTH J STREET
TACOMA, WA 98405
(253) 627-4101Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215698006
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251291600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 9 + 1 + 6 + 0 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1215698006 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

G. GILBERT JOHNSTON MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

DR. JOHN MICHAEL LUBER JR. MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

CRAIG RICHARD HAMPTON MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

MICHAEL K CAVANAGH PA-C

Physician Assistant

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

DOUGLAS C ROSSI PA-C

Physician Assistant

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

MR. JERRY JOHN PAPSON PA-C

Physician Assistant

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

SEAN MICHAEL SHIPLEY PA-C

Physician Assistant

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

MR. COLBY CHRISTOPHERSON ARNP

Nurse Practitioner

(Gerontology)

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

DR. THOMAS PAUL TEMPLIN II M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

MALCOLM AJ DUGLISS PA-C

Physician Assistant

(Surgical)

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

DR. TIMOTHY WATKINS JAMES M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405

(253) 272-7777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215698006, enumerated as an "individual" on January 04, 2022.

The provider is located at 1802 YAKIMA AVE STE 102 TACOMA, WA 98405 and the phone number is (253) 272-7777.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Haemi Lee is affiliated with: UNITED HEALTH SERVICES HOSPITALS, INC and ST JOSEPH MEDICAL CENTER.