LI XIE NP
NPI 1629814819
Nurse Practitioner - Adult Health in Flushing, NY

Q: What is Li Xie's NPI number?

The NPI number for Li Xie is 1629814819. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Q: What is Li Xie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Li Xie was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 08, 2024PECOS Enrolled

4199 MAIN ST STE 201, FLUSHING, NY 11355(718) 961-1836 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Li Xie Np NPPES

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

LI XIE NP (NPI 1629814819) is an individual adult health provider in Flushing, New York, licensed in New York (F311844) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629814819

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameLI XIECredential: NP

Location Address4199 MAIN ST STE 201Flushing, NY 11355-5164

Mailing Address7 Hamilton PlGarden City, NY 11530-5952

Phone(718) 961-1836

Sole ProprietorNo

Enumeration DateJuly 8, 2024

NPPES CertifiedJuly 7, 2024

✔ NPI 1629814819 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 · F311844

4199 MAIN ST STE 201, Flushing, NY 11355

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Li Xie 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 Reassignment

Medicare enrollment records show Li Xie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunny Friendly Medical PC

Same address

Clinic/Center

4199 MAIN ST STE 201
Flushing, NY 11355

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1285077123 (718) 961-1897

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 11355 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 8

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

JING BO WU

Internal Medicine