Individual provider Active NPI

Linda Xuan DO, RN, MS, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1083718704
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333916 Issued in NY
Practice address
2825 3Rd Ave
Bronx, NY 10455
Phone
(866) 224-4662
Fax
(718) 509-3584
NPI assigned
Sep 12, 2006
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X F333916-1 NY
General Practice Registered Nurse 163WG0000X F333916-1 NY
Family Nurse Practitioner 363LF0000X F333916 NY Primary

Addresses

Primary practice location

2825 3Rd Ave
Bronx, NY 10455

Mailing address

2825 3Rd Ave
Bronx, NY 10455-4066
Phone (866) 224-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20161108000619 NY Practitioner - Nurse Practitioner 9234418666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F333916-1NYMDDiabetes Educator Registered Nurse
F333916NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Nov 11, 2016 Accepting new patients
The Westchester Medical Group PC CurrentSince Dec 1, 2021 Accepting new patients
Optum Medical Care, P.C. CurrentSince Nov 11, 2016 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Dec 1, 2021 Accepting new patients
Endocrine Associate of West Village PC CurrentSince Jul 1, 2020 Accepting new patients

Locations

2825 3rd Ave
Bronx, NY 10455
Phone (718) 520-8000

2825 3rd Ave
Ste 2
Bronx, NY 10455
Phone (212) 675-9332

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

800 Westchester Ave
Ste N715
Rye Brook, NY 10573
Phone (914) 607-5730

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: linda.do.1@21260.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1083718704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "866-224-4662",
            "fax_number": "718-509-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10455",
            "telephone_number": "866-224-4662",
            "fax_number": "718-509-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "LINDA",
        "middle_name": "XUAN",
        "credential": "RN, MS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "F333916-1",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "F333916-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.