XUEJING LI (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1215342332

XUEJING LI (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 273432 (MA). The NPI Number for XUEJING LI (M.D.) is 1215342332

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
XUEJING LI (M.D.)
NPI
1215342332
Phone
Not provided
Address
55 LAKE AVE NORTH
Enumeration Date
26 June 2014
Last Update Date
5 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084596400
Graduation Year
2001 (25 years ago)
PAC ID
4587938592
Group Practice PAC ID
9638190374
Professional Enrollment ID
I20210311001444
Address ID
MA016062738WO135XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for XUEJING LI (M.D.)

  • 55 LAKE AVE NORTH

    PSYCHIATRY

    WORCESTER, MA 01655

    Phone:

    Type: Mailing

  • 55 LAKE AVENUE NORTH

    PSYCHIATRY

    WORCESTER, MA 01655

    Phone: (508) 334-1000

    Type: Location

  • 1100 Alabama Ave SE

    Washington, DC 200324540

    Phone: (202) 384-4605

    Type: Location

  • 81 PLANTATION ST

    WORCESTER, MA 016043069

    Phone: (508) 927-8821

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2023-01-03 • Largest payer in this snapshot: ABBVIE INC. ($108).

Total Amount

$108

General + Research + Ownership

Payments

1

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$108
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210311001444IPsychiatryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01655)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638190374View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA
P S Y C H I A T R YMA
Clinical PsychologistMA
Clinical PsychologistAK
Mental Health CounselorMA
Nurse PractitionerMA
Marriage And Family TherapistMA
Nurse PractitionerRI
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What NPI should I save for XUEJING LI (M.D.)?
Save NPI 1215342332 if you need a stable reference for XUEJING LI (M.D.).
Is XUEJING LI (M.D.)'s NPI currently valid?
The extract we use shows XUEJING LI (M.D.) as active.
What does XUEJING LI (M.D.) treat or focus on?
Patients typically see XUEJING LI (M.D.) under the specialty Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for XUEJING LI (M.D.)?
We surface Worcester, Massachusetts for XUEJING LI (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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