Individual provider Active NPI

Lili Chen, APRN

  • Nurse Practitioner
  • Galveston, TX
National Provider Identifier
1487153672
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP133905 Issued in TX
Practice address
1005 Harborside Drive 3Rd Floor
Galveston, TX 77555-0001
Phone
(832) 505-1910
Fax
(409) 774-0777
NPI assigned
Feb 2, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133905 TX Primary

Addresses

Primary practice location

1005 Harborside Drive 3Rd Floor
Galveston, TX 77555-0001

Mailing address

2255 Braeswood Park Dr Apt 118
Houston, TX 77030-4437
Phone (832) 780-9719

Other practice location 1

2785 Gulf Fwy S Ste 2.200
League City, TX 77573-4979
Phone (888) 886-2543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180502000154 TX Practitioner - Nurse Practitioner 3173887932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Referral ServiceGroup PAC ID 7911801410, 2,728 clinicians

Practice addresses (Care Compare)

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone (713) 792-6127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
67.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Referral Service CurrentSince Sep 16, 2018 Accepting new patients
Utmb Faculty Group Practice CurrentSince Apr 12, 2018 Accepting new patients

Locations

1005 Harborside Dr 3rd
Galveston, TX 77555
Phone (832) 505-1910

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-2121

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

2785 Gulf Fwy S
Ste 2200
League City, TX 77573
Phone (409) 772-3695

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487153672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 BRAESWOOD PARK DR APT 118",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304437",
            "telephone_number": "832-780-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DRIVE 3RD FLOOR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "832-505-1910",
            "fax_number": "409-774-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2785 Gulf Fwy S Ste 2.200",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775734979",
            "country_code": "US",
            "telephone_number": "888-886-2543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LILI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.