MR. JOHNY KI-WON LEE (PA-C) – Physician Assistant, NPI 1598868218
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. JOHNY KI-WON LEE (PA-C)
10004 204th Ave E
#1200
Bonney Lake, WA 983916539
Phone: (253) 848-5951
Type: Location
201 16th Ave E
Seattle, WA 981125226
Phone: (206) 326-3000
Type: Location
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982065127
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Mailing
Gunderson Building, 3927, Rucker Avenue, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982014833
Phone: (425) 339-5447
Fax: (425) 259-1185
Type: Location
23320 HIGHWAY 99
EDMONDS, WA 980268744
Phone: (425) 789-3700
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: 2005-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051026001176 | I | Physician Assistant | WA | TBD |
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.
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 98391)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Nurse Practitioner | AL | |
| Physician Assistant | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | UT | |
| Internal Medicine | WA | |
| - | WA |
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