MS. JUNGSOO LEE NURSE PRACTITIONER
NPI 1851131114
Nurse Practitioner - Acute Care in Montebello, CA

Q: What is Jungsoo Lee's NPI number?

The NPI number for Jungsoo Lee is 1851131114. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Q: What is Jungsoo Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jungsoo Lee was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2024PECOS EnrolledAccepts Medicare Assignment

3114 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 726-3868(323) 726-3870 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Jungsoo Lee Nurse Practitioner NPPES

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

MS. JUNGSOO LEE NURSE PRACTITIONER (NPI 1851131114) is an individual acute care provider in Montebello, California, licensed in California (95023879) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851131114

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. JUNGSOO LEECredential: NURSE PRACTITIONER

Location Address3114 W BEVERLY BLVDMontebello, CA 90640-2217

Mailing Address2031 20th St Apt DSanta Monica, CA 90404-4750 · (310) 866-7888

Phone(323) 726-3868

Fax(323) 726-3870

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 24, 2024

NPPES CertifiedMay 24, 2024

✔ NPI 1851131114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95023879

3114 W BEVERLY BLVD, Montebello, CA 90640

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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 and accepts Medicare assignment

Ms. Jungsoo Lee Nurse Practitioner 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.

PECOS PAC ID941748909

PECOS Enrollment IDI20240821002914

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 90640 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 15

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

PATRICIA M ALVARADO M.D.

Internal Medicine (Nephrology)