EILEEN XIE CRNP
NPI 1104647080
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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.
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
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 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.
Where is Eileen Xie located?
Eileen Xie practices at 550 Broad St Ste 606, Newark, NJ 07102. The listed phone number is (866) 994-5161.
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.
Is Eileen Xie enrolled in Medicare?
Yes. Eileen Xie 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.
When was this NPI record last updated?
The NPPES record for Eileen Xie was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eileen Xie, CRNP · NPI 1104647080
Psychiatric/Mental Health physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since October 23, 2024.
## Identity
- **NPI:** 1104647080 (Entity type: Individual)
- **Enumerated:** October 23, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15268700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 BROAD ST STE 606, Newark, NJ 07102-4537
- **Phone:** (866) 994-5161 · **Fax:** (877) 485-8918
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104647080) · Data from the CMS NPPES public registry.