XIAN YI LI AGPCNP
NPI 1053135061
Nurse Practitioner - Adult Health in Elmhurst, NY

Active since November 14, 2024PECOS EnrolledAccepts Medicare Assignment
82-55 BROADWAY, ELMHURST, NY 11373(646) 854-3611 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2025, Nov 14, 2024 (2 updates tracked since 2024).

About Xian Yi Li Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

XIAN YI LI AGPCNP (NPI 1053135061) is an individual adult health provider in Elmhurst, New York, licensed in New York (F312054) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053135061
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameXIAN YI LICredential: AGPCNP
Location Address82-55 BROADWAYElmhurst, NY 11373
Mailing Address82-55 BroadwayElmhurst, NY 11373 · (646) 854-3611
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 14, 2024
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1053135061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F312054
82-55 BROADWAY, Elmhurst, NY 11373

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Xian Yi Li Agpcnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507395266
PECOS Enrollment IDI20250124000806
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Xian Yi Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
139 CENTRE ST STE 711
New York, NY 10013
  • Reassigned Medicare billing, New York enrollment
  • 284 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 11373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
82-55 BROADWAY
ELMHURST, NY 11373
Internal Medicine
82-55 BROADWAY
ELMHURST, NY 11373
Internal Medicine
82-55 BROADWAY
QUEENS, NY 11373

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 Xian Yi Li's NPI number?

The NPI number for Xian Yi Li is 1053135061. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Xian Yi Li located?

Xian Yi Li practices at 82-55 Broadway, Elmhurst, NY 11373. The listed phone number is (646) 854-3611.

What is Xian Yi Li's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Xian Yi Li enrolled in Medicare?

Yes. Xian Yi Li is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Xian Yi Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Xian Yi Li reassigns Medicare benefits to Chinatown True Care Medical PLLC (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 Xian Yi 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 Xian Yi Li was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.