MINOU XIE (NP) – Nurse Practitioner, NPI 1063809366

MINOU XIE (NP) is a healthcare provider. based in Ann arbor, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704219328 (MI). The NPI Number for MINOU XIE (NP) is 1063809366

Main info

Female
15 Years Of Experience
Name
MINOU XIE (NP)
NPI
1063809366
Phone
(734) 936-2047
Address
3621 SOUTH STATE STREET
Enumeration Date
24 April 2015
Last Update Date
8 June 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6093962646
Graduation Year
2011 (15 years ago)
PAC ID
5294047528
Group Practice PAC ID
6901276922
Professional Enrollment ID
I20230120000219
Address ID
NJ086184501TR439XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MINOU XIE (NP)

  • 3621 SOUTH STATE STREET

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • 1500 EAST MEDICAL CENTER DRIVE

    LEVEL 4 UNIVERSITY HOSPITAL BUILDING 1000312

    ANN ARBOR, MI 481095240

    Phone: (734) 647-9291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-01-20

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
I20230120000219INurse PractitionerNJTBD

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 48108)

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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: 6901276922View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What number should I use to identify MINOU XIE (NP) for billing?
Administrative and clinical systems typically use NPI 1063809366 for MINOU XIE (NP).
Is MINOU XIE (NP)'s NPI status active today?
Active status means MINOU XIE (NP)'s NPI record is not deactivated in the public file.
What services align with MINOU XIE (NP)'s listing?
MINOU XIE (NP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MINOU XIE (NP)?
The directory associates MINOU XIE (NP) with Ann Arbor, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains MINOU XIE (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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