JI SU LEE NP
NPI 1689567919
Nurse Practitioner in Scottsdale, AZ

Q: What is Ji Su Lee's NPI number?

The NPI number for Ji Su Lee is 1689567919. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Q: What is Ji Su Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ji Su Lee was last updated on October 8, 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.

Active since June 03, 2025PECOS Enrolled

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Jun 3, 2025 (2 updates tracked since 2025).

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About Ji Su Lee Np NPPES

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

JI SU LEE NP (NPI 1689567919) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (325667) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689567919

Entity TypeIndividual

Primary Taxonomy363L00000X

Provider Legal NameJI SU LEECredential: NP

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452

Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452

Phone(480) 301-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 3, 2025

Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1689567919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 325667

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

13400 E SHEA BLVD, Scottsdale, AZ 85259

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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)

Ji Su Lee Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769984988

PECOS Enrollment IDI20250908000015

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 85259 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

AMITKUMAR MEHTA MD

Internal Medicine (Hematology & Oncology)