Individual provider Active NPI

Jie Xu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1831878743
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F357199-01 Issued in NY
Practice address
13668 Roosevelt Ave Ste 5a
Flushing, NY 11354-5510
Phone
(718) 268-0878
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 757170-01 NY
Family Nurse Practitioner 363LF0000X F357199-01 NY Primary

Addresses

Primary practice location

13668 Roosevelt Ave Ste 5a
Flushing, NY 11354-5510

Mailing address

13668 Roosevelt Ave Ste 5a
Flushing, NY 11354-5510
Phone (718) 268-0878

Other practice location 1

14355 37th Ave
Flushing, NY 11354-5729
Phone (718) 268-0878

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
I20260505002221 NY Practitioner - Nurse Practitioner 3375011638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14355 37TH Ave
FL 1
Flushing, NY 11354-5729

3150 140TH St
Apt 3J
Flushing, NY 11354-2105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
757170-01NYMDRegistered Nurse
F357199-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J&J Star Medical PLLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

13668 Roosevelt Ave
Ste 5A
Flushing, NY 11354
Phone (718) 294-4870

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831878743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE 5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "718-268-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE 5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "718-268-0878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14355 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545729",
            "country_code": "US",
            "telephone_number": "718-268-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "JIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "757170-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F357199-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.