XIAOYU SHI NP
NPI 1992374771
Nurse Practitioner - Family in Flushing, NY

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
4266 KISSENA BLVD, FL1, FLUSHING, NY 11355(718) 888-7907 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Jul 9, 2021, Jun 24, 2021 (3 updates tracked since 2021).

About Xiaoyu Shi Np NPPES

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

XIAOYU SHI NP (NPI 1992374771) is an individual family provider in Flushing, New York, licensed in New York (347897) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992374771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameXIAOYU SHICredential: NP
Location Address4266 KISSENA BLVD, FL1Flushing, NY 11355-3213
Mailing Address366 5th Ave, Fl4New York, NY 10001-2241 · (917) 285-2780
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1992374771 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 · 347897
Also ListedRegistered NurseTaxonomy 163W00000X · License 755941 (NY)
4266 KISSENA BLVD, Flushing, NY 11355

Secondary Practice Locations 2

Location 113620 Maple Ave, C901Flushing, NY 11355 · Phone (917) 285-2780
Location 23808 Union Street, Ste 5AFlushing, NY 11354 · Phone (718) 888-7907

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

Xiaoyu Shi Np 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 ID7315331519
PECOS Enrollment IDI20220304000996
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.

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.
20 services13 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.
17 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

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 2

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

Nurse Practitioner (Family)
4266 KISSENA BLVD
FLUSHING, NY 11355
Nurse Practitioner (Family)
4266 KISSENA BLVD
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 Xiaoyu Shi's NPI number?

The NPI number for Xiaoyu Shi is 1992374771. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Xiaoyu Shi located?

Xiaoyu Shi practices at 4266 Kissena Blvd Fl1, Flushing, NY 11355. The listed phone number is (718) 888-7907.

What is Xiaoyu Shi's specialty?

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

Is Xiaoyu Shi enrolled in Medicare?

Yes. Xiaoyu Shi 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 Xiaoyu Shi was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.