JAE SUNG LEE NP
NPI 1669233896
Nurse Practitioner in Stanford, CA
About Jae Sung Lee Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE SUNG LEE NP (NPI 1669233896) is an individual nurse practitioner in Stanford, California, licensed in California (95028632) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Jae Sung Lee Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Jae Sung Lee's NPI number?
The NPI number for Jae Sung Lee is 1669233896. It was assigned to this individual provider in the NPPES registry on January 16, 2024.
Where is Jae Sung Lee located?
Jae Sung Lee practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Jae Sung Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jae Sung Lee enrolled in Medicare?
Yes. Jae Sung 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.
When was this NPI record last updated?
The NPPES record for Jae Sung Lee was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jae Sung Lee, NP · NPI 1669233896
Nurse Practitioner physician in Stanford, California. Individual provider, active in the CMS NPPES registry since January 16, 2024.
## Identity
- **NPI:** 1669233896 (Entity type: Individual)
- **Enumerated:** January 16, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95028632 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669233896) · Data from the CMS NPPES public registry.