KELLY LI NP
NPI 1437688306
Nurse Practitioner - Pediatrics in New York, NY

Active since June 05, 2017PECOS Enrolled
630 W 168TH ST, NEW YORK, NY 10032(617) 871-9873 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2020, Jun 5, 2017 (2 updates tracked since 2017).

About Kelly Li Np NPPES

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

KELLY LI NP (NPI 1437688306) is an individual pediatrics provider in New York, New York, licensed in New York (383210) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437688306
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY LICredential: NP
Location Address630 W 168TH STNew York, NY 10032-3725
Mailing Address630 W 168th StNew York, NY 10032-3725
Sole ProprietorNo
Enumeration DateJune 5, 2017
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 20, 2020
✔ NPI 1437688306 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 · 383210
630 W 168TH ST, New York, NY 10032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly 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

3

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

Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
Pediatrics
6010 BAY PKWY STE 902
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 137 clinicians in this Medicare group

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 10032 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.

Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
Internal Medicine
630 W 168TH ST, BB 2-239
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST
NEW YORK, NY 10032
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
Hospitalist
630 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
Dentist (Prosthodontics)
630 W 168TH ST, PH7 - 318 D
NEW YORK, NY 10032
Registered Nurse
630 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032

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 Kelly Li's NPI number?

The NPI number for Kelly Li is 1437688306. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Kelly Li located?

Kelly Li practices at 630 W 168th St, New York, NY 10032. The listed phone number is (617) 871-9873.

What is Kelly Li's specialty?

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

Is Kelly Li enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Li reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Maimonides Faculty Practice Plan (Brooklyn, NY) and Mmc Pediatrics Faculty Practice (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 Kelly 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 Kelly Li was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.