Individual provider Active NPI

Jie Li, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1396340915
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10200602 Issued in MI
Practice address
837 59TH St
Brooklyn, NY 11220-3611
Phone
(718) 680-8881
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347091 NY
Family Nurse Practitioner 363LF0000X F10200602 MI Primary

Addresses

Primary practice location

837 59TH St
Brooklyn, NY 11220-3611

Mailing address

49201 Hidden Ridge Dr
Northville, MI 48168-8607
Phone (248) 890-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230110002912 MI Practitioner - Nurse Practitioner 4486069523 Reassigns benefits to 2 organizations
I20260120003020 NY Practitioner - Nurse Practitioner 4486069523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Michigan PLLCGroup PAC ID 9638502917, 39 clinicians
CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

Detroit, MI 48243
Phone (337) 991-9276

2102 Orleans St
Detroit, MI 48207-2769
Phone (337) 991-9276

4266 Kissena Blvd
FL 1
Flushing, NY 11355-3213
Phone (917) 285-2780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10200602MIMDFamily Nurse Practitioner
347091NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Michigan PLLC CurrentSince Jan 3, 2023 Accepting new patients
Chinatown True Care Medical PLLC CurrentSince Jul 19, 2023 Accepting new patients
Yong Kang Medical PLLC CurrentSince Feb 1, 2021 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300

837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

4266 Kissena Blvd
#1
Flushing, NY 11355
Phone (718) 333-5537

3808 Union St
Ste 5A
Flushing, NY 11354
Phone (718) 888-7907

168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286

Networks

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

Interoperability endpoints

  • Direct secure messaging: jieli@mai.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1396340915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49201 HIDDEN RIDGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688607",
            "telephone_number": "248-890-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203611",
            "telephone_number": "718-680-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347091",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F10200602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.