SHENGJIE MO FNP
NPI 1770601015
Nurse Practitioner - Family in Flushing, NY

Active since March 26, 2007PECOS Enrolled
13663 41ST AVE, FLUSHING, NY 11355(718) 358-3858 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shengjie Mo Fnp NPPES

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

SHENGJIE MO FNP (NPI 1770601015) is an individual family provider in Flushing, New York, licensed in New York (333972) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1770601015
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHENGJIE MOCredential: FNP
Location Address13663 41ST AVEFlushing, NY 11355-2433
Mailing Address2266 E 22nd StBrooklyn, NY 11229-4812 · (917) 881-0690
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1770601015 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 · 333972
13663 41ST AVE, Flushing, NY 11355

Other Identifiers 1

Medicaid02265465NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2860871001
PECOS Enrollment IDI20220620000276
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 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 3

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

Pharmacist
13663 41ST AVE
FLUSHING, NY 11355
Family Medicine
13663 41ST AVE, 3/FLOOR
FLUSHING, NY 11355
Dentist (General Practice)
13663 41ST AVE
FLUSHING, NY 11355

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 Shengjie Mo's NPI number?

The NPI number for Shengjie Mo is 1770601015. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Shengjie Mo located?

Shengjie Mo practices at 13663 41st Ave, Flushing, NY 11355. The listed phone number is (718) 358-3858.

What is Shengjie Mo's specialty?

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

Is Shengjie Mo enrolled in Medicare?

Yes. Shengjie Mo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shengjie Mo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.