GRACE LEE PMHNP-BC
NPI 1942804372
Nurse Practitioner - Psychiatric/Mental Health in Reston, VA

Active since November 25, 2020PECOS EnrolledAccepts Medicare Assignment
12007 SUNRISE VALLEY DR STE 300, RESTON, VA 20191(804) 207-6737 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, Nov 25, 2020 (2 updates tracked since 2020).

About Grace Lee Pmhnp-bc NPPES

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

GRACE LEE PMHNP-BC (NPI 1942804372) is an individual psychiatric/mental health provider in Reston, Virginia, licensed in Virginia (0024180355) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Lean, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942804372
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE LEECredential: PMHNP-BC
Location Address12007 SUNRISE VALLEY DR STE 300Reston, VA 20191-3446
Mailing Address12007 Sunrise Valley Dr Ste 300Reston, VA 20191-3446 · (804) 207-6737
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 25, 2020
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1942804372 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 · 0024180355
12007 SUNRISE VALLEY DR STE 300, Reston, VA 20191

Other Names 1

Other Name (5)Grace Hyanggi Lee Pmhnp-bc

Secondary Practice Location 1

Location 11360 Beverly Rd Ste 200Mc Lean, VA 22101-3647 · Phone (703) 831-8300

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

Grace Lee Pmhnp-bc 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 ID941613228
PECOS Enrollment IDI20210302003073
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 20191 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 10

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

Social Worker (Clinical)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Psychiatry & Neurology (Psychiatry)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Social Worker (Clinical)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Counselor (Professional)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Marriage & Family Therapist
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Counselor (Professional)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Social Worker (Clinical)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Counselor (Professional)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942804372, enumerated as an "individual" on November 25, 2020.

The provider is located at 12007 SUNRISE VALLEY DR STE 300 RESTON, VA 20191 and the phone number is (804) 207-6737.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.