Jiwon Lee
NPI 1437884327ActiveIndividual· Registered Nurse· Springfield, MO
Registered Nurse with Banner - University Hospital Based Physicians LLC and 1 other group, practicing in Springfield, Missouri. Medicare paid $7,510 for services to 86 patients in 2024. Lists Banner - University Medical Center Phoenix as a hospital affiliation.
Overview
| NPI | 1437884327 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 23, 2022 |
| Last updated in NPPES | Jul 23, 2022 |
| Certified by provider | Jul 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 2014005304 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 89 across 30 procedure codes |
| Paid by Medicare | $7,510 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Banner - University Hospital Based Physicians LLCPhoenix, AZ · 339 clinicians
- Pca AnesthesiaPhoenix, AZ · 55 clinicians
Hospital affiliation
- Banner - University Medical Center PhoenixPhoenix, AZ
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