Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EILEEN XIE CRNP
NPI 1104647080
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Q: What is Eileen Xie's NPI number?

The NPI number for Eileen Xie is 1104647080. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Q: What is Eileen Xie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Xie was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since October 23, 2024PECOS EnrolledAccepts Medicare Assignment

550 BROAD ST STE 606, NEWARK, NJ 07102(866) 994-5161(877) 485-8918 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Jun 5, 2026, May 5, 2026 and 1 more (4 updates tracked since 2025).

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About Eileen Xie Crnp NPPES

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

EILEEN XIE CRNP (NPI 1104647080) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ15268700) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cherry Hill, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104647080

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEILEEN XIECredential: CRNP

Location Address550 BROAD ST STE 606Newark, NJ 07102-4537

Mailing Address550 Broad St Ste 606Newark, NJ 07102-4537 · (866) 994-5161 · Fax (877) 485-8918

Phone(866) 994-5161

Fax(877) 485-8918

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 23, 2024

Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1104647080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NJ · 26NJ15268700✔ Licensed in PA · SP030619

550 BROAD ST STE 606, Newark, NJ 07102

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Secondary Practice Location 1

Location 11030 Kings Hwy N Ste 400Cherry Hill, NJ 08034-1907 · Phone (866) 994-5161 · Fax (877) 485-8918

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Eileen Xie Crnp 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 ID5991235111

PECOS Enrollment IDI20250203003682, I20250918003307

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 Reassignments

Medicare enrollment records show Eileen Xie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jls Medical PC

Same address

Psychiatry

550 BROAD ST STE 606
Newark, NJ 07102

Reassigned Medicare billing, New Jersey enrollment
141 clinicians in this Medicare group

NPI 1164007043 (201) 822-1161

Comhar Inc

72 mi

Community/Behavioral Health

2055 E ALLEGHENY AVE
Philadelphia, PA 19134

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Co Mhar Inc
38 clinicians in this Medicare group

NPI 1144343724 (215) 203-3037

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 07102 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

MARGARITA RIVAS

Counselor (Mental Health)