MR. KYUNG WOON LEE (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1295142149

MR. KYUNG WOON LEE (FNP) is a healthcare provider. based in Burney, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. NP95006454 (CA). The NPI Number for MR. KYUNG WOON LEE (FNP) is 1295142149

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. KYUNG WOON LEE (FNP)
NPI
1295142149
Phone
(530) 999-9030
Address
37491 ENTERPRISE DR
Enumeration Date
11 July 2014
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302465796
Graduation Year
2014 (12 years ago)
PAC ID
5092034447
Group Practice PAC ID
3870579816
Professional Enrollment ID
I20211026003438
Address ID
CA960011170RE1035XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. KYUNG WOON LEE (FNP)

  • 37491 ENTERPRISE DR

    BURNEY, CA 960134379

    Phone: (530) 999-9030

    Fax: (530) 335-3060

    Type: Mailing

  • 1035 PLACER ST

    REDDING, CA 960011170

    Phone: (530) 246-5883

    Fax: (530) 244-7846

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Corcept Therapeutics ($114).

Total Amount

$244

General + Research + Ownership

Payments

8

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211026003438INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870579816View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Family PracticeCA
Family PracticeCA
Family PracticeCA
Marriage And Family TherapistCA
Family PracticeCA
Family PracticeCA
-CA
General PracticeCA
Family Practice, Emergency MedicineCA

Reviews

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Frequently asked questions

How do payers reference MR. KYUNG WOON LEE (FNP)?
For MR. KYUNG WOON LEE (FNP), use NPI 1295142149 as the unique 10-digit identifier.
Would MR. KYUNG WOON LEE (FNP) appear as active to a payer?
You can treat MR. KYUNG WOON LEE (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. KYUNG WOON LEE (FNP)?
At a glance, MR. KYUNG WOON LEE (FNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. KYUNG WOON LEE (FNP) located near Burney?
MR. KYUNG WOON LEE (FNP) currently maps to Burney, California in this extract.
Does MR. KYUNG WOON LEE (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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