Individual provider Active NPI

Miyeon V Lee, FNP-BC

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1295259141
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006796 Issued in CA
Practice address
3345 Michelson Dr
Irvine, CA 92612-0692
Phone
(888) 227-3312
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 95006796 CA Primary

Addresses

Primary practice location

3345 Michelson Dr
Irvine, CA 92612-0692

Mailing address

3345 Michelson Dr
Irvine, CA 92612-0692
Phone (888) 227-3312

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address mlee1178371@oc.providencedirect.org
Direct Messaging Address mlee1178371@oc.providencedirect.org
Direct Messaging Address mlee1178371@oc.providencedirect.org
Direct Messaging Address mlee1178371@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191224000378 CA Practitioner - Nurse Practitioner 1951735034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Mar 10, 2025 Accepting new patients

Locations

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mlee1178371@oc.providencedirect.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1295259141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 MICHELSON DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120692",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 MICHELSON DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120692",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIYEON",
        "middle_name": "V",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlee1178371@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "57 Prism",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlee1178371@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3446 W Ball Rd",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928043709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlee1178371@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Newport Center Dr Ste 150",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926606418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlee1178371@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5832 Beach Blvd",
            "city": "Buena Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906212010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.