SUSAN SUN-YOUNG LEE
NPI 1306719109
Nurse Practitioner - Acute Care in Los Angeles, CA

Q: What is Susan Lee's NPI number?

The NPI number for Susan Lee is 1306719109. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Q: What is Susan Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Susan Lee was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 26, 2025PECOS Enrolled

1225 WILSHIRE BLVD, LOS ANGELES, CA 90017(213) 977-2121 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Susan Sun-young Lee NPPES

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

SUSAN SUN-YOUNG LEE (NPI 1306719109) is an individual acute care provider in Los Angeles, California, licensed in California (95036009) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306719109

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSUSAN SUN-YOUNG LEE

Location Address1225 WILSHIRE BLVDLos Angeles, CA 90017-1901

Mailing Address1225 Wilshire BlvdLos Angeles, CA 90017-1901 · (213) 977-2121 · Fax (213) 482-2770

Phone(213) 977-2121

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 26, 2025

Last NPPES UpdateOctober 2, 2025

NPPES CertifiedOctober 2, 2025

✔ NPI 1306719109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95036009

1225 WILSHIRE BLVD, Los Angeles, CA 90017

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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 (PECOS)

Susan Sun-young Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921599911

PECOS Enrollment IDI20251118001868

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 90017 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

DR. TAYLOR WILSON BURKHOLDER MD

Emergency Medicine