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MRS. KATIE JIAJIA LI PA-C
NPI 1841693694
Physician Assistant - Medical in Flushing, NY

Active since October 07, 2014PECOS Enrolled
6123 136TH ST FL 1, FLUSHING, NY 11367(646) 625-9839 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Katie Jiajia Li Pa-c NPPES

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

MRS. KATIE JIAJIA LI PA-C (NPI 1841693694) is an individual medical provider in Flushing, New York, licensed in New York (018072-1) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841693694
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KATIE JIAJIA LICredential: PA-C
Location Address6123 136TH ST FL 1Flushing, NY 11367-1038
Mailing Address2510 30th AveAstoria, NY 11102-2448 · (718) 932-1000
Phone(646) 625-9839
Sole ProprietorNo
Enumeration DateOctober 7, 2014
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1841693694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 018072-1
6123 136TH ST FL 1, Flushing, NY 11367
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katie Jiajia Li Pa-c 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.

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 Katie Li's NPI number?

The NPI number for Katie Li is 1841693694. It was assigned to this individual provider in the NPPES registry on October 7, 2014.

Where is Katie Li located?

Katie Li practices at 6123 136th St Fl 1, Flushing, NY 11367. The listed phone number is (646) 625-9839.

What is Katie Li's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katie Li enrolled in Medicare?

Yes. Katie Li is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Li was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.