KANGWEON LEE FNP-BC - NPI 1720673544 - Nurse Practitioner in Beverly, MA

Q: What is Kangweon Lee's NPI number?

The NPI number for Kangweon Lee is 1720673544. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Q: What is Kangweon Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kangweon Lee was last updated on August 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kangweon Lee Fnp-bc NPPES

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

KANGWEON LEE FNP-BC (NPI 1720673544) is an individual family provider in Beverly, Massachusetts, licensed in Massachusetts (RN2340947) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720673544

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKANGWEON LEECredential: FNP-BC

Location Address19 DODGE STBeverly, MA 01915-1705

Mailing Address19 Dodge StBeverly, MA 01915-1705

Phone(857) 344-0545

Sole ProprietorNo

Enumeration DateMarch 3, 2021

Last NPPES UpdateAugust 24, 20253 updates tracked since enumeration

NPPES CertifiedAugust 24, 2025

✔ NPI 1720673544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · RN2340947

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2340947 (MA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2340947 (MA)

19 DODGE ST, Beverly, MA 01915

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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)

Kangweon Lee Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 01915 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.