Individual provider Active NPI

Yuanyuan Xu, FNP-C

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1285335141
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349218 Issued in NY
Practice address
5521 8TH Ave Unit 3C
Brooklyn, NY 11220-3515
Phone
(718) 437-3855
Fax
(718) 437-3856
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 349218 NY Primary

Addresses

Primary practice location

5521 8TH Ave Unit 3C
Brooklyn, NY 11220-3515

Mailing address

5521 8TH Ave Unit 3C
Brooklyn, NY 11220-3515
Phone (718) 437-3855

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
I20240416004305 NY Practitioner - Nurse Practitioner 9739528217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
349218NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ye'S Medical Office, P.C. CurrentSince Feb 14, 2024 Accepting new patients

Locations

5521 8th Ave
Unit 3C
Brooklyn, NY 11220
Phone (718) 437-3855

Networks

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

Organizations & group practices 1

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1285335141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 8TH AVE UNIT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203515",
            "telephone_number": "718-437-3855",
            "fax_number": "718-437-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 8TH AVE UNIT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203515",
            "telephone_number": "718-437-3855",
            "fax_number": "718-437-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "YUANYUAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.