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LUKE XAVIER NP
NPI 1356982680
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since October 08, 2019PECOS Enrolled
1625 SCHRADER BLVD FL 4, LOS ANGELES, CA 90028(323) 993-7500(323) 308-4456 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 28, 2025, Nov 21, 2023, Nov 12, 2020 and 2 more (5 updates tracked since 2019).

About Luke Xavier Np NPPES

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

LUKE XAVIER NP (NPI 1356982680) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in Hawaii (APRN-2983) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356982680
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLUKE XAVIERCredential: NP
Location Address1625 SCHRADER BLVD FL 4Los Angeles, CA 90028-6213
Mailing Address1625 Schrader Blvd Fl 4Los Angeles, CA 90028-6213 · (208) 699-6129
Phone(323) 993-7500
Fax(323) 308-4456
Sole ProprietorNo
Enumeration DateOctober 8, 2019
Last NPPES UpdateMarch 28, 20255 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1356982680 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
License✔ Licensed in HI · APRN-2983
1625 SCHRADER BLVD FL 4, Los Angeles, CA 90028
Open in Google Maps ↗

Other Names 1

Former Name (1)Luke Stormogipson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Xavier 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

3

Medicare enrollment records show Luke Xavier reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Angeles Lgbt Center
Same address
Federally Qualified Health Center (FQHC)
1625 SCHRADER BLVD
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
NPI 1548298532 (323) 993-7500
Sud Specialty Group - Ca
306 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
The Queens Medical Center
2,551 mi
Urgent Care
377 KEAHOLE ST STE E108E109
Honolulu, HI 96825
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1528691383 (808) 735-0007

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 90028 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Luke Xavier's NPI number?

The NPI number for Luke Xavier is 1356982680. It was assigned to this individual provider in the NPPES registry on October 8, 2019. The provider is also known as Luke Stormogipson.

Where is Luke Xavier located?

Luke Xavier practices at 1625 Schrader Blvd Fl 4, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.

What is Luke Xavier's specialty?

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

Is Luke Xavier enrolled in Medicare?

Yes. Luke Xavier is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luke Xavier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Xavier reassigns Medicare benefits to 3 organizations: Los Angeles Lgbt Center (Los Angeles, CA), Sud Specialty Group - Ca (Santa Clara, CA) and The Queens Medical Center (Honolulu, HI). 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 Luke Xavier'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 Luke Xavier was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.