Individual provider Active NPI

Yuqing Raine Chen

  • Adult Health Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1174057087
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
312282 Issued in NY
Practice address
13620 Maple Ave Ste 201
Flushing, NY 11355-5167
Phone
(718) 799-0127
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 312282 NY Primary
Registered Nurse 163W00000X 730049 NY

Addresses

Primary practice location

13620 Maple Ave Ste 201
Flushing, NY 11355-5167

Mailing address

13620 Maple Ave Ste 201
Flushing, NY 11355-5167
Phone (718) 799-0127

Other practice location 1

40 Bowery
New York, NY 10013-4801
Phone (646) 609-6138

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
I20251111002060 NY Practitioner - Nurse Practitioner 9234620972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Bowery
New York, NY 10013-4801

68 S Service Rd
Suite 100
Melville, NY 11747-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
730049NYMDRegistered Nurse
312282NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Comprehensive Medical PC CurrentSince Sep 1, 2025 Accepting new patients
East Summit Medical PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

13620 Maple Ave
Ste 201
Flushing, NY 11355
Phone (718) 799-0127

40 Bowery
New York, NY 10013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEDAA/Endpoint/BIEDAA

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, 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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1174057087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE STE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555167",
            "telephone_number": "718-799-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE STE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555167",
            "telephone_number": "718-799-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Bowery",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134801",
            "country_code": "US",
            "telephone_number": "646-609-6138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YUQING",
        "middle_name": "RAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312282",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "730049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.