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JIE XU NURSE PRACTITIONER
NPI 1831878743
Nurse Practitioner - Family in Flushing, NY

Active since July 17, 2023PECOS Enrolled
13668 ROOSEVELT AVE STE 5A, FLUSHING, NY 11354(718) 268-0878 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Jul 19, 2023 (2 updates tracked since 2023).

About Jie Xu Nurse Practitioner NPPES

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

JIE XU NURSE PRACTITIONER (NPI 1831878743) is an individual family provider in Flushing, New York, licensed in New York (F357199-01) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flushing, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1831878743
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJIE XUCredential: NURSE PRACTITIONER
Location Address13668 ROOSEVELT AVE STE 5AFlushing, NY 11354-5510
Mailing Address13668 Roosevelt Ave Ste 5aFlushing, NY 11354-5510 · (718) 268-0878
Phone(718) 268-0878
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 17, 2023
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1831878743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F357199-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 757170-01 (NY)

Secondary Practice Location 1

Location 114355 37th AveFlushing, NY 11354-5729 · Phone (718) 268-0878

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jie Xu Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375011638
PECOS Enrollment IDI20260505002221
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 Jie Xu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

J & j Star Medical PLLC
Geriatric Medicine
9320 70TH AVE
Forest Hills, NY 11375
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1588943047 (917) 292-2292

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 11354 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.

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 Xu's NPI number?

The NPI number for Jie Xu is 1831878743. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Jie Xu located?

Jie Xu practices at 13668 Roosevelt Ave Ste 5A, Flushing, NY 11354. The listed phone number is (718) 268-0878.

What is Jie Xu's specialty?

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

Is Jie Xu enrolled in Medicare?

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

Which organization bills Medicare for Jie Xu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jie Xu reassigns Medicare benefits to J & j Star Medical PLLC (Forest Hills, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jie Xu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jie Xu was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.