SHENGJIE MO FNP
NPI 1770601015
Nurse Practitioner - Family in Flushing, NY
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shengjie Mo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shengjie Mo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flushing, NY 11354
- Reassigned Medicare billing, New York enrollment
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.
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.
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.
# Shengjie Mo, FNP · NPI 1770601015
Family physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1770601015 (Entity type: Individual)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 333972 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 13663 41ST AVE, Flushing, NY 11355-2433
- **Phone:** (718) 358-3858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 02265465 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1770601015) · Data from the CMS NPPES public registry.