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

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