Active NPI
Yewon Lee, NP
- Gerontology Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.025847
- Practice address
- 375 Dixmyth Ave
Cincinnati, OH 45220-2475 - Phone
- (513) 865-2246
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 025847 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.025847 | OH | Primary |
Addresses
Primary practice location
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Mailing address
4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 246-1964
Other practice location 1
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (937) 477-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
525 E 68TH St
New York, NY 10065-4870
Phone (646) 962-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025847 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Cornell University Medical College | Past | Accepting new patients |
Locations
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
1305 York Ave
New York, NY 10021
Phone (646) 962-2020
240 E 59th St
New York, NY 10022
Phone (212) 421-0473
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
520 E 70th St
#651
New York, NY 10021
Phone (212) 746-2385
156 William St
New York, NY 10038
Phone (646) 962-4679
130 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-3691
525 E 68th St
#651
New York, NY 10065
Phone (212) 746-4684
1305 York Ave
Fl 9
New York, NY 10021
Phone (646) 962-3376
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1720619190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397",
"telephone_number": "513-246-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-865-2246"
}
],
"practiceLocations": [
{
"address_1": "3535 Olentangy River Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432143908",
"country_code": "US",
"telephone_number": "937-477-7188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "YEWON",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "025847",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.025847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.