GRACE MOORE LEE N.P.
NPI 1356758635
Nurse Practitioner - Family in Daly City, CA

Active since July 17, 2014PECOS EnrolledAccepts Medicare Assignment
380 90TH ST, DALY CITY, CA 94015(650) 301-8600(650) 298-6880 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Moore Lee N.p. NPPES

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

GRACE MOORE LEE N.P. (NPI 1356758635) is an individual family provider in Daly City, California, licensed in California (95000963) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356758635
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE MOORE LEECredential: N.P.
Location Address380 90TH STDaly City, CA 94015-1807
Mailing Address380 90th StDaly City, CA 94015-1807 · (650) 301-8600 · Fax (650) 298-6880
Fax(650) 298-6880
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 17, 2014
Last NPPES UpdateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1356758635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95000963
380 90TH ST, Daly City, CA 94015

Other Names 1

Former Name (1)Grace Moore Np

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

Grace Moore Lee N.p. 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.

PECOS PAC ID3375867518
PECOS Enrollment IDI20151015000047
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.

Medicare Billing Reassignment

Medicare enrollment records show Grace Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
380 90TH ST
Daly City, CA 94015
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1831268580 (California)
  • 597 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 94015 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims44 services$4.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
380 90TH ST
DALY CITY, CA 94015
Family Medicine
380 90TH ST
DALY CITY, CA 94015
Nurse Practitioner (Family)
380 90TH ST
DALY CITY, CA 94015
General Acute Care Hospital
380 90TH ST
DALY CITY, CA 94015
Family Medicine
380 90TH ST
DALY CITY, CA 94015
Clinic/Center (Multi-Specialty)
380 90TH ST
DALY CITY, CA 94015
Clinic/Center (Federally Qualified Health Center (FQHC))
380 90TH ST
DALY CITY, CA 94015
Clinic/Center (Adult Day Care)
380 90TH ST
DALY CITY, CA 94015

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 Grace Lee's NPI number?

The NPI number for Grace Lee is 1356758635. It was assigned to this individual provider in the NPPES registry on July 17, 2014. The provider is also known as Grace Moore Np.

Where is Grace Lee located?

Grace Lee practices at 380 90th St, Daly City, CA 94015. The listed phone number is (650) 301-8600.

What is Grace Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace Lee enrolled in Medicare?

Yes. Grace 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 Grace Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Lee reassigns Medicare benefits to County Of San Mateo (Daly City, 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 Grace 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 Grace Lee was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.