GEUNJAE LEE
NPI 1821690488
Nurse Practitioner - Psychiatric/Mental Health in Norfolk, VA

Q: What is Geunjae Lee's NPI number?

The NPI number for Geunjae Lee is 1821690488. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Q: What is Geunjae Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Geunjae Lee was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 09, 2020PECOS Enrolled

850 SOUTHAMPTON AVE, NORFOLK, VA 23510(757) 668-4673 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 23, 2022, Nov 9, 2020 (2 updates tracked since 2020).

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About Geunjae Lee NPPES

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

GEUNJAE LEE (NPI 1821690488) is an individual psychiatric/mental health provider in Norfolk, Virginia, licensed in Virginia (0024180202) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821690488

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameGEUNJAE LEE

Location Address850 SOUTHAMPTON AVENorfolk, VA 23510-1021

Mailing Address850 Southampton AveNorfolk, VA 23510-1021 · (757) 668-4673 · Fax (757) 668-8870

Phone(757) 668-4673

Sole ProprietorYes

Enumeration DateNovember 9, 2020

Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration

NPPES CertifiedDecember 21, 2023

✔ NPI 1821690488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024180202

850 SOUTHAMPTON AVE, Norfolk, VA 23510

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geunjae Lee 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.

Medicare Billing Reassignment

Medicare enrollment records show Geunjae Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Specialty Group PLLC

0.3 mi

Pediatrics

601 CHILDRENS LN
Norfolk, VA 23507

Reassigned Medicare billing, Virginia enrollment
549 clinicians in this Medicare group

NPI 1255354130 (757) 668-7007

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 23510 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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.

DR. CRYSTAL MILLER PROUD M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)