MS. THERESA JUNGHYUN LEE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073896130

MS. THERESA JUNGHYUN LEE (CRNA) is a healthcare provider. based in Louisville, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1141724 (KY). The NPI Number for MS. THERESA JUNGHYUN LEE (CRNA) is 1073896130

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. THERESA JUNGHYUN LEE (CRNA)
NPI
1073896130
Phone
(502) 625-5584
Address
320 WHITTINGTON PKWY
Enumeration Date
26 September 2011
Last Update Date
23 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024468000
Graduation Year
2011 (15 years ago)
PAC ID
5193982502
Group Practice PAC ID
0244590305
Professional Enrollment ID
I20150107000965
Address ID
KY402412831LO4960XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for MS. THERESA JUNGHYUN LEE (CRNA)

  • 320 WHITTINGTON PKWY

    SUITE 301

    LOUISVILLE, KY 402224928

    Phone: (502) 625-5584

    Fax: (502) 426-2264

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($67).

Total Amount

$88

General + Research + Ownership

Payments

5

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

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: 2015-01-07

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
I20150107000965ICertified Registered Nurse Anesthetist (Crna)KYTBD

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 40222)

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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: 0244590305View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YIA

Reviews

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Frequently asked questions

Does MS. THERESA JUNGHYUN LEE (CRNA) have a public NPI I can cite?
Public records show MS. THERESA JUNGHYUN LEE (CRNA) under NPI 1073896130.
Is MS. THERESA JUNGHYUN LEE (CRNA)'s NPI status active today?
Active status means MS. THERESA JUNGHYUN LEE (CRNA)'s NPI record is not deactivated in the public file.
What does the directory say MS. THERESA JUNGHYUN LEE (CRNA) does?
Insurance directories may phrase it differently, but here MS. THERESA JUNGHYUN LEE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MS. THERESA JUNGHYUN LEE (CRNA) tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, MS. THERESA JUNGHYUN LEE (CRNA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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