Individual provider Active NPI

Maider Xiong, FNP-C

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1396467569
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95022562 Issued in CA
Practice address
7662 Laurie Way
Sacramento, CA 95832-1513
Phone
(916) 407-6334
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95022562 CA Primary

Addresses

Primary practice location

7662 Laurie Way
Sacramento, CA 95832-1513

Mailing address

7662 Laurie Way
Sacramento, CA 95832-1513
Phone (916) 407-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240117003639 CA Practitioner - Nurse Practitioner 6103278932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Urgent Care IncGroup PAC ID 5294992343, 12 clinicians
Elk Grove Urgent Care IncGroup PAC ID 0648340976, 15 clinicians

Practice addresses (Care Compare)

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3669
Phone (916) 422-9110

9045 Bruceville Rd
Suite 100
Elk Grove, CA 95758-5950
Phone (916) 479-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Grove Urgent Care Inc CurrentSince Dec 3, 2023 Accepting new patients
Capitol Urgent Care Inc CurrentSince Dec 3, 2023 Accepting new patients

Locations

9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110

7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110

Organizations & group practices 2

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1396467569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7662 LAURIE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958321513",
            "telephone_number": "916-407-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7662 LAURIE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958321513",
            "telephone_number": "916-407-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "MAIDER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.