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

Jiwon Lee

Individual provider Registered Nurse · NPI 1437884327

Jiwon Lee is a Certified Registered Nurse Anesthetist (CRNA) in Springfield, Missouri. Qualified in 2023, 3 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2022
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Practice location Address checks out

1950 S Scenic Ave Apt A307
Springfield, MO 65807-2158
Phone: (417) 619-1658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2014005304 (MO)

Record details

NPI number1437884327
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2022
Last updated in NPPESJuly 23, 2022
Certification dateJuly 23, 2022
Mailing address1950 S Scenic Ave Apt A307, Springfield, MO 65807-2158

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield