Jie Xu, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10002553A Issued in IN

Practice address

12188A N Meridian St Ste 375
Carmel, IN 46032-4433

Phone

(317) 926-1056

NPI assigned

Aug 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Neurology and Pain Center LLCGroup PAC ID 5294001574, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

58.34 of 100Reported as group

Quality

41.67

Promoting interoperability

0

Improvement activities

40

Cost

81.11

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jie.xu.1@7598.direct.athenahealth.com
• Direct secure messaging: jie.xu@3126.securemail.prognocis.com

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.

• Indiana Neurology and Pain Center LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Indianapolis, IN
  • NPI 1659890218
  Medicare reassignment Care Compare group NPD
• Advanced Pain & Anesthesia Consultants, PC

  • Pain Medicine (Anesthesiology) Physician
  • Crown Point, IN
  • NPI 1457387078
  Medicare reassignment NPD
• Advance Pain & Anesthesia Consultants, PC

  • Durable Medical Equipment & Medical Supplies
  • La Porte, IN
  • NPI 1629966106
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1225518228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324433",
            "telephone_number": "317-926-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324433",
            "telephone_number": "317-926-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2072 E Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "IN",
            "postal_code": "463562116",
            "country_code": "US",
            "telephone_number": "219-208-6894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "JIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-19",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "99088232A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002553A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wurth, MA, CCC-SLP
• Donna Wurtz-Smith
• Maureen Quigley Wynne, PA-C
• Xcel Med LLC
• Yuxian Xing
• Lauren Yacks, OTR/L
• Hiroto Yagasaki
• Momi Yamanaka, PH.D.
• Yunpeng Yang, MD
• Michele Annmarie Yap, PT

• Medical Physician Assistant in Carmel, IN
• Providers in Carmel, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.