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WILSON LI
NPI 1336623065
Nurse Practitioner - Adult Health in New York, NY

Active since September 19, 2018PECOS Enrolled
1 GUSTAVE LEVY PLACE, NEW YORK, NY 10029(917) 583-6688 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2022, Jul 22, 2021, Oct 29, 2018 and 1 more (4 updates tracked since 2018).

About Wilson Li NPPES

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

WILSON LI (NPI 1336623065) is an individual adult health provider in New York, New York, licensed in New York (F3087971) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336623065
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameWILSON LI
Location Address1 GUSTAVE LEVY PLACENew York, NY 10029
Mailing Address461 1st AveNew York, NY 10016-9102 · (212) 562-1761
Phone(917) 583-6688
Sole ProprietorYes
Enumeration DateSeptember 19, 2018
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1336623065 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 · F3087971
1 GUSTAVE LEVY PLACE, New York, NY 10029
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson 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 10029 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 20

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

MARY PRESCIUTTI
Nurse Practitioner (Family)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500
MARK SAM COUREY
Specialist
1 GUSTAVE LEVY PLACE, BOX 1191
NEW YORK, NY 10029
New York County (212) 241-9410
DR. DENNIS MARK BIENSTOCK MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-1621
MOUNT SINAI SCHOOL OF MEDICINE
Pathology (Blood Banking & Transfusion Medicine)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6784
MOUNT SINAI SCHOOL OF MEDICINE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 731-7822
JULIA RIVADENEIRA LMSW
Social Worker
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 659-8795
DR. TAISHA ROMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500
DR. KATE WELCH M.D.
Pediatrics (Pediatric Allergy/Immunology)
1 GUSTAVE LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-4963

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 Wilson Li's NPI number?

The NPI number for Wilson Li is 1336623065. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Wilson Li located?

Wilson Li practices at 1 Gustave Levy Place, New York, NY 10029. The listed phone number is (917) 583-6688.

What is Wilson Li's specialty?

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

Is Wilson Li enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Wilson Li was last updated on January 4, 2022. 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.