KEN LE AGACNP
NPI 1427865831
Nurse Practitioner - Acute Care in Braselton, GA

Q: What is Ken Le's NPI number?

The NPI number for Ken Le is 1427865831. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Q: What is Ken Le's specialty?

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

Q: Is Ken Le enrolled in Medicare?

Yes. Ken Le 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.

Q: When was this NPI record last updated?

The NPPES record for Ken Le was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 December 18, 2024PECOS EnrolledAccepts Medicare Assignment

1404 RIVER PL STE 501, BRASELTON, GA 30517(770) 534-2020 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Feb 12, 2025, Dec 18, 2024 (3 updates tracked since 2024).

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About Ken Le Agacnp NPPES

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

KEN LE AGACNP (NPI 1427865831) is an individual acute care provider in Braselton, Georgia, licensed in Georgia (RN299278) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1427865831

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameKEN LECredential: AGACNP

Location Address1404 RIVER PL STE 501Braselton, GA 30517-5600

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 534-2020

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2024

Enumeration DateDecember 18, 2024

Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1427865831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN299278

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN299278 (GA)

1404 RIVER PL STE 501, Braselton, GA 30517

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Secondary Practice Location 1

Location 12500 Lindsey Oak LnLawrenceville, GA 30044-7416 · Phone (404) 488-4959

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

Ken Le Agacnp 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 ID2365964806

PECOS Enrollment IDI20250313002898

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30517 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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Other Providers at the Same Location NPPES 19

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

SIVA CHIRANJEEVI MD

Internal Medicine (Cardiovascular Disease)