JINGLAN LI
NPI 1023375813
Nurse Practitioner - Family in New York, NY
About Jinglan Li NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JINGLAN LI (NPI 1023375813) is an individual family provider in New York, New York, licensed in New York (33 333468) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jinglan Li is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jinglan Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jinglan Li's NPI number?
The NPI number for Jinglan Li is 1023375813. It was assigned to this individual provider in the NPPES registry on April 18, 2012.
Where is Jinglan Li located?
Jinglan Li practices at 69 Gold St Apt 4D, New York, NY 10038. The listed phone number is (917) 657-5550.
What is Jinglan Li's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jinglan Li enrolled in Medicare?
Yes. Jinglan Li is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jinglan Li's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jinglan Li reassigns Medicare benefits to Mskcc Radiology Group (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jinglan Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jinglan Li was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jinglan Li · NPI 1023375813
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 18, 2012.
## Identity
- **NPI:** 1023375813 (Entity type: Individual)
- **Enumerated:** April 18, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 33 333468 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 69 GOLD ST APT 4D, New York, NY 10038-1882
- **Phone:** (917) 657-5550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mskcc Radiology Group (NPI 1639159692, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1023375813) · Data from the CMS NPPES public registry.