Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANDY XI PA-C
NPI 1669940896
Physician Assistant in Staten Island, NY

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2455 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 361-6880 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Dec 30, 2019, May 15, 2019 and 1 more (4 updates tracked since 2018).

About Mandy Xi Pa-c NPPES

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

MANDY XI PA-C (NPI 1669940896) is an individual physician assistant in Staten Island, New York, licensed in New York (022968) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Staten Island, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669940896
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMANDY XICredential: PA-C
Location Address2455 HYLAN BLVDStaten Island, NY 10306-3146
Mailing Address366 5th Ave Fl 4New York, NY 10001-2241
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 6, 2018
Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1669940896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 022968
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2455 HYLAN BLVD, Staten Island, NY 10306

Secondary Practice Location 1

Location 1155 Bay St Apt 2CStaten Island, NY 10301-2508 · Phone (718) 290-9788

Other Identifiers 3

Other1157035NY · Nccpa
Other022968NY · Nys Licensing Department For Pa-c
Other440014956NY · Driver License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mandy Xi Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587077730
PECOS Enrollment IDI20210106002556
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
53 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

Internal Medicine
2455 HYLAN BLVD
STATEN ISLAND, NY 10306

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 Mandy Xi's NPI number?

The NPI number for Mandy Xi is 1669940896. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Mandy Xi located?

Mandy Xi practices at 2455 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (718) 361-6880.

What is Mandy Xi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mandy Xi enrolled in Medicare?

Yes. Mandy Xi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mandy Xi was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.