Eileen Xie, CRNP - Medicare Nurse Practitioner in Newark, NJ

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Eileen Xie, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Newark, New Jersey. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jls Medical Pc, Co Mhar Inc and her current practice location is 550 Broad St Ste 606, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (866) 994-5161.

Eileen Xie is licensed to practice in New Jersey (license number 26NJ15268700) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104647080.

Contact Information

Eileen Xie, CRNP
550 Broad St Ste 606,
Newark, NJ 07102-4537
(866) 994-5161
(877) 485-8918

Map and Direction




Provider's Profile

Full NameEileen Xie
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location550 Broad St Ste 606, Newark, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eileen Xie graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1104647080
  • Provider Enumeration Date: 10/23/2024
  • Last Update Date: 10/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5991235111
  • Enrollment ID: I20250918003307

Medical Identifiers

Medical identifiers for Eileen Xie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104647080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15268700 (New Jersey)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health SP030619 (Pennsylvania)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jls Medical Pc771934200553
Co Mhar Inc195139845222

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eileen Xie allows following entities to bill medicare on her behalf.
Entity NameJls Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164007043
PECOS PAC ID: 7719342005
Enrollment ID: O20230419002320

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eileen Xie is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eileen Xie, CRNP
550 Broad St Ste 606,
Newark, NJ 07102-4537

Ph: (866) 994-5161		Eileen Xie, CRNP
550 Broad St Ste 606,
Newark, NJ 07102-4537

Ph: (866) 994-5161

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.