Individual provider Active NPI

Li Li, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1548744899
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54422 Issued in NM
Practice address
287 Park Ave S FL 5
New York, NY 10010-4573
Phone
(888) 553-2823
NPI assigned
Sep 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350966 NY
Family Nurse Practitioner 363LF0000X AP138045 TX
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 54422 NM Primary

Addresses

Primary practice location

287 Park Ave S FL 5
New York, NY 10010-4573

Mailing address

1402 Ralston Branch Way
Sugar Land, TX 77479-4457
Phone (832) 868-2909

Other practice location 1

2402 W Pierce St Ste 6A
Carlsbad, NM 88220-3566
Phone (575) 689-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190109000860 NM Practitioner - Nurse Practitioner 9537405733 Reassigns benefits to 1 organization
I20210707001820 TX Practitioner - Nurse Practitioner 9537405733 Reassigns benefits to 1 organization
I20230131002680 NY Practitioner - Nurse Practitioner 9537405733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Careathome Medical Practice KyGroup PAC ID 6800202193, 16 clinicians

Practice addresses (Care Compare)

5851 Legacy Cir
FL 6
Plano, TX 75024-5966
Phone (888) 553-2823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54422NMMDFamily Nurse Practitioner
350966NYMDFamily Nurse Practitioner
AP138045TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Group Inc. Single Specialty CurrentSince Nov 17, 2018 Accepting new patients
Careathome Medical Practice Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Aldad Medical PC Single Specialty CurrentSince Dec 24, 2023 Accepting new patients
Careathome Medical Practice Ky Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Five Star Medical Office PC Single Specialty CurrentSince Apr 13, 2024 Accepting new patients
Urban Family Practice PC Single Specialty CurrentSince Aug 7, 2023 Accepting new patients
Briarwood Clinic, LLC Single Specialty Past Accepting new patients
Perfect Health PC Single Specialty PastSince Jun 9, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

2402 W Pierce St
Ste 6A
Carlsbad, NM 88220
Phone (575) 689-8700

2410 N Fowler St
Hobbs, NM 88240
Phone (505) 392-2040

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2829
New York, NY 10016

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

287 Park Ave S
Fl 3
New York, NY 10010
Phone (917) 410-7931

287 Park Ave S
Fl 5
New York, NY 10010
Phone (917) 451-3090

5851 Legacy Cir
Fl 6
Plano, TX 75024
Phone (214) 843-1904

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Star Hospice LLCSugar Land, TX, CCN A91755 Hospice 5% Or Greater Direct Ownership Interest (20%)
Limited Partnership Interest (20%)
Dec 30, 2025
Dec 30, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1548744899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 RALSTON BRANCH WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794457",
            "telephone_number": "832-868-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 PARK AVE S FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104573",
            "telephone_number": "888-553-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 W Pierce St Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203566",
            "country_code": "US",
            "telephone_number": "575-689-8700",
            "fax_number": "575-236-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "LI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350966",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138045",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.