Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaewon Lee, CNP

Individual provider Nurse Practitioner · NPI 1558815522

Jaewon Lee, CNP is a Nurse Practitioner in Grants, New Mexico. Qualified in 2016, 10 years ago. Practices with Presbyterian Medical Services, a 132-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, Minnesota and New Mexico.

Years since qualifying
10
Licensed in
IN, MN, NM
In the registry since
2016
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1217 Bonita St
Grants, NM 87020-2103
Phone: (052) 872-9585
Fax: (505) 443-8342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 109 Us Highway 66 E, Tell City, IN 47586-2755 — (812) 547-3447
  • 109 Us Highway 66 E, Tell City, IN 47586-2755 — (812) 547-3447

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 66164 (NM)
Nurse Practitioner Taxonomy 363L00000X · Licence 5905 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F07161203 (IN)

Record details

NPI number1558815522
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address1217 Bonita St, Grants, NM 87020-2103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Presbyterian Medical Services — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grants