Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jie Xu, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1831878743

Jie Xu, NURSEPRACTITIONER is a Nurse Practitioner in Flushing, New York. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2023
Specialties on file
2

Practice location Address checks out

13668 Roosevelt Ave Ste 5A
Flushing, NY 11354-5510
Phone: (718) 268-0878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F357199-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 757170-01 (NY)

Record details

NPI number1831878743
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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