KYUNG JIN LEE CRNP
NPI 1750884318
Nurse Practitioner - Acute Care in Baltimore, MD
About Kyung Jin Lee Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYUNG JIN LEE CRNP (NPI 1750884318) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R201923) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyung Jin Lee Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyung Jin Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Physicians PA
- 614 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 21201 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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Kyung Jin Lee's NPI number?
The NPI number for Kyung Jin Lee is 1750884318. It was assigned to this individual provider in the NPPES registry on March 9, 2018.
Where is Kyung Jin Lee located?
Kyung Jin Lee practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-8667.
What is Kyung Jin Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kyung Jin Lee enrolled in Medicare?
Yes. Kyung Jin Lee is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyung Jin Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyung Jin Lee reassigns Medicare benefits to University Of Maryland Physicians, P.A. (Baltimore, MD). The 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 Kyung Jin 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 Kyung Jin Lee was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Kyung Jin Lee, CRNP · NPI 1750884318
Acute Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 9, 2018.
## Identity
- **NPI:** 1750884318 (Entity type: Individual)
- **Enumerated:** March 9, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R201923 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-8667
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Maryland Physicians, P.A. (NPI 1104877075, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1750884318) · Data from the CMS NPPES public registry.