DR. JEANNIE LE (D.O.) – Family Medicine Physician, NPI 1063899979

DR. JEANNIE LE (D.O.) is a healthcare provider. based in Renton, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OP60867815 (WA). The NPI Number for DR. JEANNIE LE (D.O.) is 1063899979

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEANNIE LE (D.O.)
NPI
1063899979
Phone
Not provided
Address
955 POWELL AVE SW
Enumeration Date
29 April 2015
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256373270
Graduation Year
2015 (11 years ago)
PAC ID
7416250204
Group Practice PAC ID
7012808827
Professional Enrollment ID
I20200107003555
Address ID
WA980075328BE619XXSEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,150 FAMILY PRACTICE in WA

Provider Addresses for DR. JEANNIE LE (D.O.)

  • 955 POWELL AVE SW

    RENTON, WA 980572908

    Phone:

    Type: Mailing

  • 403 E MEEKER ST

    KENT, WA 98030

    Phone: (253) 852-2866

    Type: Location

  • 1231 116TH AVE NE STE 200

    BELLEVUE, WA 980043804

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-07

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
I20200107003555IFamily PracticeWATBD

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 minutes374314$0
99213Established patient office or other outpatient visit, 20-29 minutes8380$0
99495Transitional care management services for problem of at least moderate complexity2422$0
36415Insertion of needle into vein for collection of blood sample2322$0
99215Established patient office or other outpatient visit, 40-54 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 98057)

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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: 7012808827View full group profile
NameSpecialtyState
N E U R O L O G YCA
-WA
Family PracticeWA
-WA
Nurse PractitionerTX
-WA
Qualified Speech Language PathologistWA
-WA
Family PracticeWA
O B S T E T R I C S/ G Y N E C O L O G YNM

Reviews

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Frequently asked questions

How do I look up DR. JEANNIE LE (D.O.) by NPI?
Use NPI 1063899979 when you need to reference DR. JEANNIE LE (D.O.) in forms, claims, or directories.
Is DR. JEANNIE LE (D.O.) active in the national directory?
DR. JEANNIE LE (D.O.)'s public NPI profile is in an active state.
What does DR. JEANNIE LE (D.O.) treat or focus on?
Patients typically see DR. JEANNIE LE (D.O.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JEANNIE LE (D.O.)?
The snapshot lists Renton, Washington for DR. JEANNIE LE (D.O.); download NPPES for the complete set.
What if Renton, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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