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JESSICA LI
NPI 1124638242
Nurse Practitioner - Pediatrics in New York, NY

Active since August 04, 2020PECOS Enrolled
2 MOTT ST RM 204, NEW YORK, NY 10013(212) 226-6002 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Aug 4, 2020 (2 updates tracked since 2020).

About Jessica Li NPPES

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

JESSICA LI (NPI 1124638242) is an individual pediatrics provider in New York, New York, licensed in New York (F383114-01) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1124638242
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA LI
Location Address2 MOTT ST RM 204New York, NY 10013-5003
Mailing Address2 Mott St Rm 204New York, NY 10013-5003
Phone(212) 226-6002
Sole ProprietorNo
Enumeration DateAugust 4, 2020
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1124638242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F383114-01
2 MOTT ST RM 204, New York, NY 10013
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Secondary Practice Location 1

Location 16402 8th Ave Rm 501Brooklyn, NY 11220-4720 · Phone (718) 238-1772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Li is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 4

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

KAYLA MARIE YEE
Nurse Practitioner (Pediatrics)
2 MOTT ST RM 204
NEW YORK, NY 10013
New York County (212) 226-6002
CHEUK W.LAU M.D.,P.C.
Pediatrics
2 MOTT ST RM 204
NEW YORK, NY 10013
New York County (212) 226-6002
SUSHELA LAM
Nurse Practitioner (Pediatrics)
2 MOTT ST RM 204
NEW YORK, NY 10013
New York County (212) 226-6002
NICOLE WENXIAN LI NP
Nurse Practitioner (Family)
2 MOTT ST RM 204
NEW YORK, NY 10013
New York County (212) 226-6002

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 Jessica Li's NPI number?

The NPI number for Jessica Li is 1124638242. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Jessica Li located?

Jessica Li practices at 2 Mott St Rm 204, New York, NY 10013. The listed phone number is (212) 226-6002.

What is Jessica Li's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Li enrolled in Medicare?

Yes. Jessica Li is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Li was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.