Doctor profile · Federal record

Dr. Jaewon Lee, CNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Nurse Practitioner · Family Nurse Practitioner · Grants, NM

  • NPI 1558815522
  • Accepts Medicare
  • 10 yrs in practice
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1217 Bonita St
Grants, NM 870202103
(052) 872-9585
fax (505) 443-8342
Additional location
109 US Highway 66 E
Tell City, IN 475862755
(812) 547-3447
fax (812) 547-9543

Credentials & registration

NPPES · NUCC
NPI registered
August 2016 — 10 yrs on file
Profile last updated
January 15, 2025
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State licenses (3)
New Mexico #66164 · Minnesota #5905 · Indiana #F07161203

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1558815522. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
17
Distinct HCPCS
1
Medicare allowed
$143
HCPCS Description Services Patients Avg allowed
36415 Insertion of needle into vein for collection of blood sample 17 16 $8

In context: peer comparison

Among 1 peers in this city , average services per provider: 17. This provider delivers 1.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
178
Patients
59
Total drug cost
$119,087
Drug Type Claims Patients Total cost
Ozempic (Semaglutide) Brand 34 0 $33,475
Lisinopril Generic 30 18 $343
Fluticasone Propionate Generic 25 18 $504
Atorvastatin Calcium Generic 23 12 $469
Amlodipine Besylate Generic 22 11 $95
Metformin Hcl Er (Metformin Hcl) Brand 20 0 $359
Allopurinol Generic 12 0 $298
Enbrel Sureclick (Etanercept) Brand 12 0 $83,543

Frequently asked questions

Auto-generated from federal data
What is Dr. Jaewon Lee's medical specialty?
Dr. Jaewon Lee practices Family Nurse Practitioner in Grants, NM.
Where does Dr. Jaewon Lee practice?
Dr. Jaewon Lee practices at 1217 Bonita St, Grants, NM 870202103. Office phone: 0528729585.
What is Dr. Jaewon Lee's NPI?
Dr. Jaewon Lee's National Provider Identifier (NPI) is 1558815522, issued by NPPES.
Does Dr. Jaewon Lee accept Medicare assignment?
Yes. Dr. Jaewon Lee accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaewon Lee commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.