Individual provider Active NPI

Shuwei Li

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1679291678
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349672-01 Issued in NY
Practice address
62 Hackett Blvd Ste 2
Albany, NY 12209-1756
Phone
(518) 434-2244
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 F349672-01 NY Primary

Addresses

Primary practice location

62 Hackett Blvd Ste 2
Albany, NY 12209-1756

Mailing address

62 Fields End Dr
Glenmont, NY 12077-2963
Phone (518) 596-9295

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
I20221104000942 NY Practitioner - Nurse Practitioner 4082081013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee and Burack OB GYN PCGroup PAC ID 9931164845, 5 clinicians

Practice addresses (Care Compare)

62 Hackett Blvd
Albany, NY 12209-1756
Phone (518) 465-3318

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F349672-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee and Burack OB/GYN, P.C. CurrentSince Oct 1, 2022 Accepting new patients

Locations

62 Hackett Blvd
Ste 2
Albany, NY 12209
Phone (518) 434-2244

62 Hackett Blvd
Albany, NY 12209
Phone (518) 434-2244

258 Hoosick St
Ste 204
Troy, NY 12180
Phone (518) 238-6028

Interoperability endpoints

  • Direct secure messaging: sli@jacobsleeburackmds.medentdirect.com

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.

Hospital & facility affiliations 2

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1679291678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 FIELDS END DR",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772963",
            "telephone_number": "518-596-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD STE 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091756",
            "telephone_number": "518-434-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHUWEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349672-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.