Individual provider Active NPI

Minou Xie, NP

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1063809366
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704219328 Issued in MI
Practice address
1500 East Medical Center Drive
Level 4 University Hospital Building 1000312
Ann Arbor, MI 48109-5240
Phone
(734) 647-9291
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704219328 MI Primary
Acute Care Nurse Practitioner 363LA2100X 4704219328 MI

Addresses

Primary practice location

1500 East Medical Center Drive
Level 4 University Hospital Building 1000312
Ann Arbor, MI 48109-5240

Mailing address

3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120000219 NJ Practitioner - Nurse Practitioner 5294047528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Practice addresses (Care Compare)

439 Bellevue Ave
Trenton, NJ 08618-4501
Phone (609) 396-2646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical Services of NJ LLC CurrentSince Nov 1, 2024 Accepting new patients
Franklin Internists PA CurrentSince Dec 1, 2022 Accepting new patients

Locations

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

27 US Highway 1
New Brunswick, NJ 08901
Phone (732) 822-4355

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

7999 N Route 130
Pennsauken, NJ 08110
Phone (786) 303-7860

1553 State Route 27
Ste 2100
Somerset, NJ 08873
Phone (855) 469-8744

439 Bellevue Ave
Trenton, NJ 08618
Phone (609) 396-2446

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1063809366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH STATE STREET",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DRIVE",
            "address_2": "LEVEL 4 UNIVERSITY HOSPITAL BUILDING 1000312",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095240",
            "telephone_number": "734-647-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "MINOU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704219328",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704219328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.