Individual provider Active NPI

Li Li, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1679895155
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 3502 Issued in AZ
Practice address
3420 S Mercy Rd
Suite 107
Gilbert, AZ 85297-0419
Phone
(480) 214-9000
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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 AP 3502 AZ Primary

Addresses

Primary practice location

3420 S Mercy Rd
Suite 107
Gilbert, AZ 85297-0419

Mailing address

3420 S Mercy Rd
Suite 107
Gilbert, AZ 85297-0419
Phone (480) 214-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101028000767 AZ Practitioner - Nurse Practitioner 2668666140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enticare PCGroup PAC ID 2264532779, 19 clinicians

Practice addresses (Care Compare)

2051 W Chandler Blvd
Suite 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

2730 S Val Vista Dr
Suite 161
Gilbert, AZ 85295-1680
Phone (480) 214-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.7 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP 3502AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enticare PC CurrentSince Aug 22, 2010 Accepting new patients
Sjhmc Physician Services PastSince Jan 30, 2018 Accepting new patients
Enticare PC PastSince Feb 18, 2024 Accepting new patients
Enticare PC PastSince Feb 18, 2024 Accepting new patients

Locations

1968 N Peart Rd
Casa Grande, AZ 85122

1968 N Peart Rd
Ste 20
Casa Grande, AZ 85122

2051 W Chandler Blvd
Ste 5
Chandler, AZ 85224
Phone (480) 672-2964

3420 S Mercy Rd
Ste 107
Gilbert, AZ 85297
Phone (480) 551-0300

3367 S Mercy Rd
Ste 205A
Gilbert, AZ 85297

3303 S Lindsay Rd
Ste 124
Gilbert, AZ 85297
Phone 4804854975 ext. 54975

2730 S Val Vista Dr
Ste 161
Gilbert, AZ 85295
Phone (480) 636-1225

17215 N 72nd Dr
Bldg D
Glendale, AZ 85308
Phone (858) 205-5486

19841 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (623) 516-8499

36457 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

7301 E 2nd St
Ste 308
Scottsdale, AZ 85251
Phone (480) 949-1212

1940 E Southern Ave
Tempe, AZ 85282
Phone (480) 292-8541

Organizations & group practices 4

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 4

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": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1679895155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970419",
            "telephone_number": "480-214-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970419",
            "telephone_number": "480-214-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP 3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.