JIE LI FNP
NPI 1457096687
Nurse Practitioner - Family in Brooklyn, NY

Active since May 02, 2022PECOS Enrolled
440 ATLANTIC AVE, BROOKLYN, NY 11217(718) 797-5504 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jie Li Fnp NPPES

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

JIE LI FNP (NPI 1457096687) is an individual family provider in Brooklyn, New York, licensed in New York (F349452-01) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457096687
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJIE LICredential: FNP
Location Address440 ATLANTIC AVEBrooklyn, NY 11217-2143
Mailing Address2802 Parsons Blvd Apt 3eFlushing, NY 11354-1358 · (646) 639-9886
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
NPI 1457096687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F349452-01
440 ATLANTIC AVE, Brooklyn, NY 11217

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jie Li Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870061021
PECOS Enrollment IDI20260506000417
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 11217 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.

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Medical)
440 ATLANTIC AVE
BROOKLYN, NY 11217
Nurse Practitioner (Adult Health)
440 ATLANTIC AVE
BROOKLYN, NY 11217
Social Worker (Clinical)
440 ATLANTIC AVE
BROOKLYN, NY 11217
Dermatology (Pediatric Dermatology)
440 ATLANTIC AVE, GROUND FLOOR
BROOKLYN, NY 11217
Physician Assistant
440 ATLANTIC AVE
BROOKLYN, NY 11217
Physician Assistant
440 ATLANTIC AVE
BROOKLYN, NY 11217
Nurse Practitioner (Family)
440 ATLANTIC AVE
BROOKLYN, NY 11217
Social Worker
440 ATLANTIC AVE
BROOKLYN, NY 11217

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 Jie Li's NPI number?

The NPI number for Jie Li is 1457096687. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Jie Li located?

Jie Li practices at 440 Atlantic Ave, Brooklyn, NY 11217. The listed phone number is (718) 797-5504.

What is Jie Li's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jie Li enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jie Li was last updated on May 2, 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.