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IVAN LI NP
NPI 1295587798
Nurse Practitioner in Commack, NY

Active since April 05, 2024PECOS Enrolled
214 INDIAN HEAD RD, COMMACK, NY 11725(917) 607-3818 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ivan Li Np NPPES

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

IVAN LI NP (NPI 1295587798) is an individual nurse practitioner in Commack, New York, licensed in New York (311752) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295587798
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameIVAN LICredential: NP
Location Address214 INDIAN HEAD RDCommack, NY 11725-1310
Mailing Address214 Indian Head RdCommack, NY 11725-1310 · (917) 607-3818
Phone(917) 607-3818
Sole ProprietorNo
Enumeration DateApril 5, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1295587798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 311752
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
214 INDIAN HEAD RD, Commack, NY 11725
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan Li Np 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.

Medicare Billing Reassignments

2

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

Li Family Medical PLLC
42 mi
Family Medicine
8634 BAY PKWY FL 1
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1225867393 (347) 562-3285
Simon Li Medical PLLC
42 mi
Primary Care
8510 19TH AVE
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1952887580 (347) 562-3285

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 11725 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Ivan Li's NPI number?

The NPI number for Ivan Li is 1295587798. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Ivan Li located?

Ivan Li practices at 214 Indian Head Rd, Commack, NY 11725. The listed phone number is (917) 607-3818.

What is Ivan Li's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ivan Li enrolled in Medicare?

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

Which organizations bill Medicare for Ivan Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Li reassigns Medicare benefits to 2 organizations: Li Family Medical PLLC (Brooklyn, NY) and Simon Li Medical PLLC (Brooklyn, NY). Each 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 Ivan 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 Ivan Li was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.