DALE KYU LEE (FNP, NP-C) – Family Nurse Practitioner, NPI 1316152168

DALE KYU LEE (FNP, NP-C) is a healthcare provider. based in Beaverton, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, NP-C. They hold a License No. 201709198NP-PP (OR). The NPI Number for DALE KYU LEE (FNP, NP-C) is 1316152168

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DALE KYU LEE (FNP, NP-C)
NPI
1316152168
Phone
(503) 297-3778
Address
11000 SW Stratus St Ste 310
Enumeration Date
14 May 2007
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
5032973778
Graduation Year
2017 (9 years ago)
PAC ID
3971862855
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20180123000902
Address ID
OR972256652PO9427XRDXX405
Telehealth
Yes

Contacts

Secure Messaging
cc_otoc_pulmonology_west_front_desk12223305@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness95
Years active:19State licenses:3Other names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for DALE KYU LEE (FNP, NP-C)

  • 11000 SW Stratus St Ste 310

    Beaverton, OR 970087144

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

  • 879 N Providence Dr

    Newberg, OR 971327563

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

  • 2020 8th Ave Ste 200

    West Linn, OR 97068

    Phone: (503) 512-1212

    Type: Location

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • 9427 SW BARNES RD STE 296

    PORTLAND, OR 972256667

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

  • 2020 8TH AVE STE 200

    WEST LINN, OR 97068

    Phone: (503) 512-1212

    Type: Location

  • 10001 SE Sunnyside Rd Ste 100

    Clackamas, OR 970159728

    Phone: (503) 512-1212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($28).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

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: 2018-01-23

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
I20180123000902INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes9797$0
99213Established patient office or other outpatient visit, 20-29 minutes4943$0
99214Established patient office or other outpatient visit, 30-39 minutes3431$0
View full utilization report →

Insurance plans in this area (ZIP 97008)

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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: 2860390408View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
Qualified AudiologistOR
Physician AssistantOR
N E U R O S U R G E R YOR

Reviews

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Frequently asked questions

How do I look up DALE KYU LEE (FNP, NP-C) by NPI?
Use NPI 1316152168 when you need to reference DALE KYU LEE (FNP, NP-C) in forms, claims, or directories.
Is DALE KYU LEE (FNP, NP-C)'s NPI currently valid?
The extract we use shows DALE KYU LEE (FNP, NP-C) as active.
What kind of provider is DALE KYU LEE (FNP, NP-C)?
The page reflects Family Nurse Practitioner for DALE KYU LEE (FNP, NP-C). Clinical services aligned with this taxonomy classification.
What location shows for DALE KYU LEE (FNP, NP-C)?
We surface Beaverton, Oregon for DALE KYU LEE (FNP, NP-C) based on available NPPES addresses.
Is DALE KYU LEE (FNP, NP-C) a real provider?
This page reflects official NPPES data for NPI 1316152168. Always confirm identity and privileges with the practice and licensing boards.

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