DR. CALEB DAEKYU LEE L.AC,OMD, PMHNP-BC
NPI 1649413758
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MD
About Dr. Caleb Daekyu Lee L.ac,omd, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CALEB DAEKYU LEE L.AC,OMD, PMHNP-BC (NPI 1649413758) is an individual psychiatric/mental health provider in Columbia, Maryland, licensed in Maryland (R253173) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Dr. Caleb Daekyu Lee L.ac,omd, Pmhnp-bc 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 Reassignments
2Medicare enrollment records show Caleb Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ellicott City, MD 21042
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
Mount Airy, MD 21771
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 28 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 21046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, MD 21046
COLUMBIA, MD 21046
COLUMBIA, MD 21046
COLUMBIA, MD 21046
COLUMBIA, MD 21046
COLUMBIA, MD 21046
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 Caleb Lee's NPI number?
The NPI number for Caleb Lee is 1649413758. It was assigned to this individual provider in the NPPES registry on April 20, 2009.
Where is Caleb Lee located?
Caleb Lee practices at 9861 Broken Land Pkwy Ste 100, Columbia, MD 21046. The listed phone number is (410) 213-5233.
What is Caleb Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Caleb Lee enrolled in Medicare?
Yes. Caleb 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 organizations bill Medicare for Caleb Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Lee reassigns Medicare benefits to 2 organizations: Refined Integrative Psychiatry & Wellness (Ellicott City, MD) and Pain And Spine Specialists Of Maryland, LLC (Mount Airy, MD). Each 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 Caleb 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 Caleb Lee was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Caleb Daekyu Lee, L.AC,OMD, PMHNP-BC · NPI 1649413758
Psychiatric/Mental Health physician in Columbia, Maryland. Individual provider, active in the CMS NPPES registry since April 20, 2009.
## Identity
- **NPI:** 1649413758 (Entity type: Individual)
- **Enumerated:** April 20, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R253173 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 9861 BROKEN LAND PKWY STE 100, Columbia, MD 21046-3031
- **Phone:** (410) 213-5233
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Refined Integrative Psychiatry & Wellness (NPI 1457161226, Ellicott City, MD); Pain And Spine Specialists Of Maryland, LLC (NPI 1174884258, Mount Airy, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 6, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1649413758) · Data from the CMS NPPES public registry.