Individual provider Active NPI

Hyeonhye Lee, NP

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1265858690
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010603 Issued in CA
Practice address
451 West Lincoln Avenue
Suite 100
Anaheim, CA 92805-2912
Phone
(714) 503-6550
Fax
(714) 409-3075
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010603 CA Primary

Addresses

Primary practice location

451 West Lincoln Avenue
Suite 100
Anaheim, CA 92805-2912

Mailing address

451 West Lincoln Avenue
Suite 100
Anaheim, CA 92805-2912
Phone (714) 503-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140428000375 NY Practitioner - Nurse Practitioner 6507099579 Reassigns benefits to 2 organizations
I20221114001251 CA Practitioner - Nurse Practitioner 6507099579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KCS, Inc.Group PAC ID 0446495105, 16 clinicians

Practice addresses (Care Compare)

451 W Lincoln Ave
Suite 100
Anaheim, CA 92805-2912
Phone (714) 503-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010603CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KCS, Inc. CurrentSince Jul 22, 2022 Accepting new patients
KCS, Inc. CurrentSince Jul 22, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 1, 2014 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 1, 2014 Accepting new patients

Locations

451 W Lincoln Ave
Ste 100
Anaheim, CA 92805
Phone (714) 507-3770

19742 MacArthur Blvd
Ste 250
Irvine, CA 92612
Phone (949) 486-8530

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hyeonhye.lee.p1@direct.kcs.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1265858690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 WEST LINCOLN AVENUE",
            "address_2": "SUITE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052912",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 WEST LINCOLN AVENUE",
            "address_2": "SUITE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052912",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYEONHYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.