KYUNG LEE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053072355

KYUNG LEE (PMHNP-BC) is a healthcare provider. based in The woodlands, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 10034397 (OR). The NPI Number for KYUNG LEE (PMHNP-BC) is 1053072355

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KYUNG LEE (PMHNP-BC)
NPI
1053072355
Phone
(832) 895-0347
Address
2103 RESEARCH FOREST DR STE 175
Enumeration Date
7 January 2022
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036121000
Graduation Year
2021 (5 years ago)
PAC ID
5597143040
Group Practice PAC ID
7719975085
Professional Enrollment ID
I20250326001336
Address ID
OR970628607TU18765RDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for KYUNG LEE (PMHNP-BC)

  • 2103 RESEARCH FOREST DR STE 175

    THE WOODLANDS, TX 773804162

    Phone: (832) 895-0347

    Type: Mailing

  • 18765 SW BOONES FERRY RD SUITES 100, 125, 150, 300, 37

    TUALATIN, OR 97062

    Phone: (503) 612-1000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,112.

Total Amount is formed as General ($1,112) + Research ($0) + Ownership ($0) = $1,112.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($428).

Total Amount

$1,112

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2025-03-26

PECOS data refreshed: 2026-06-15

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
I20250326001336INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes3417$0
90833Psychotherapy with evaluation and management visit, 30 minutes2615$0
View full utilization report →

Insurance plans in this area (ZIP 77380)

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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: 7719975085View full group profile
NameSpecialtyState
Nurse PractitionerOR
-WA
Clinical Social WorkerOR
-OR
Nurse PractitionerOR
Mental Health CounselorOR
Clinical Social WorkerOR
Mental Health CounselorOR
Mental Health CounselorTX
Clinical Social WorkerCA

Reviews

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Frequently asked questions

What is the registry number for KYUNG LEE (PMHNP-BC)?
The registry entry for KYUNG LEE (PMHNP-BC) shows NPI 1053072355.
Is KYUNG LEE (PMHNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists KYUNG LEE (PMHNP-BC) as active.
What services align with KYUNG LEE (PMHNP-BC)'s listing?
KYUNG LEE (PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KYUNG LEE (PMHNP-BC) tied to The Woodlands, Texas?
If you are local to The Woodlands, Texas, KYUNG LEE (PMHNP-BC) may be relevant to your search.
Why is information missing for KYUNG LEE (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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