Individual provider Active NPI

Xinyi Li, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1184492993
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11027989 Issued in FL
Practice address
515 W 6TH St
Jacksonville, FL 32206-4324
Phone
(904) 253-1000
NPI assigned
Dec 12, 2023
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11027989 FL Primary

Addresses

Primary practice location

515 W 6TH St
Jacksonville, FL 32206-4324

Mailing address

921 N Davis Street Building a
Ste 251 MC68
Jacksonville, FL 32209
Phone (904) 253-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240307001440 FL Practitioner - Nurse Practitioner 2264878735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

2200 Ringling Blvd
Sarasota, FL 34237-6102
Phone (941) 861-2900

515 W 6TH St
Jacksonville, FL 32206-4324
Phone (904) 253-1025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027989FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 16, 2024 Accepting new patients
Florida Department of Health CurrentSince Mar 16, 2024 Accepting new patients

Locations

515 W 6th St
Jacksonville, FL 32206
Phone (904) 253-1080

5300 N Pearl St
Jacksonville, FL 32208
Phone (904) 253-1025

921 N Davis St
Bldg A
Jacksonville, FL 32209
Phone (904) 253-1639

921 N Davis St
Ste 251
Jacksonville, FL 32209

6950 Outreach Way
North Port, FL 34287
Phone (941) 529-0200

2200 Ringling Blvd
Sarasota, FL 34237
Phone (941) 861-2900

1105 E Kennedy Blvd
Tampa, FL 33602
Phone (813) 307-8015

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1184492993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N DAVIS STREET BUILDING A",
            "address_2": "STE 251 MC68",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-253-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 6TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064324",
            "telephone_number": "904-253-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XINYI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.