Individual provider Active NPI

Rena Li, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1689116592
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346719 Issued in NY
Practice address
156 William St FL 12
New York, NY 10038-5322
Phone
(646) 962-5575
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 724616 NY
Family Nurse Practitioner 363LF0000X 346719 NY Primary

Addresses

Primary practice location

156 William St FL 12
New York, NY 10038-5322

Mailing address

156 William St FL 12
New York, NY 10038-5322
Phone (646) 962-5575

Other practice location 1

1947 86th St
Brooklyn, NY 11214-3103
Phone (718) 372-7700

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
I20220429000594 NY Practitioner - Nurse Practitioner 7416344015 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
Weill Medical College of CornellGroup PAC ID 6800709023, shared by 46 NPIs, 2,023 clinicians

Practice addresses (Care Compare)

156 William St
New York, NY 10038-2609
Phone (646) 962-3686

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
724616NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Apr 4, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Apr 4, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Apr 4, 2022 Accepting new patients
Park Slope Medical Service PC Past Accepting new patients
Kings Physician Services, PC Past Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

156 William St
Fl 12
New York, NY 10038
Phone (464) 962-2020

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

156 William St
New York, NY 10038
Phone (646) 962-4679

41 Elizabeth St
Ste 507
New York, NY 10013
Phone (212) 966-8890

Networks

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

Interoperability endpoints

  • Direct secure messaging: rel9059@direct.nyp.org

Organizations & group practices 6

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1689116592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385322",
            "telephone_number": "646-962-5575",
            "fax_number": "646-962-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385322",
            "telephone_number": "646-962-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143103",
            "country_code": "US",
            "telephone_number": "718-372-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "RENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "724616",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.