Xueyan Luo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11318 Issued in MN

Practice address

4444 W 76TH St Ste 400&600
Edina, MN 55435-5173

Phone

(612) 746-7347

NPI assigned

Feb 23, 2024

Last updated

Feb 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, NC2 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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Sujit R Varma IncGroup PAC ID 1254585599, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21285/brand/1/csg/1/fhir/r4
• Direct secure messaging: xueyan.luo.1@21285.direct.athenahealth.com

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.

• Dr Sujit R Varma Inc

  • Psychiatry Physician
  • Edina, MN
  • NPI 1194098053
  Medicare reassignment Care Compare group NPD
• Medpsych Integrated PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1154898013
  Medicare reassignment NPD

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1760248090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 MEADOW RDG",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W 76TH ST STE 400&600",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355173",
            "telephone_number": "612-746-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "XUEYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lunde, LGSW
• Max Joseph Miller Lundeen, PA-C
• Brianna Lundgren
• Alyssa Lundquist, PT
• Lundquist, PA
• Jacqueline A Luong, MEDICAL DOCTOR
• James D. Lutz, M.D.
• Luxottica of America Inc (Target Optical #C4437)
• Luxottica of America Inc. (Lenscrafters At Macy's #8877)
• Luxottica of America Inc. (LensCrafters #130)

• Psychiatric/Mental Health Nurse Practitioner in Edina, MN
• Providers in Edina, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.