GUOZHEN XIE
NPI 1396503611
Student in an Organized Health Care Education/Training Program in Jacksonville, FL
About Guozhen Xie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUOZHEN XIE (NPI 1396503611) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Michigan (4351054119) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Guozhen Xie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Guozhen Xie's NPI number?
The NPI number for Guozhen Xie is 1396503611. It was assigned to this individual provider in the NPPES registry on March 11, 2024.
Where is Guozhen Xie located?
Guozhen Xie practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 956-8252.
What is Guozhen Xie's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Guozhen Xie enrolled in Medicare?
Yes. Guozhen Xie is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Guozhen Xie was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Guozhen Xie · NPI 1396503611
Student in an Organized Health Care Education/Training Program provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 11, 2024.
## Identity
- **NPI:** 1396503611 (Entity type: Individual)
- **Enumerated:** March 11, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351054119 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 956-8252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1396503611) · Data from the CMS NPPES public registry.