Sue Xiong, APNP
Individual provider Active NPI Nurse Practitioner · Howard, WI
NPI 1609430396 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1609430396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 9067 (WI)
- Practice address
- 464 Cardinal LN
Howard, WI 54313-9569 - Phone
- (920) 434-3880
- Fax
- (920) 434-3882
- NPI assigned
- Apr 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Fox Valley Wisconsin, Inc
Practice addresses (Care Compare)
2700 W 9TH Ave
Suite 106 Heart and Lung CNTR
Oshkosh, WI 54904-7247
Phone (920) 236-1750
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909002334 | WI | Practitioner - Nurse Practitioner | 8022347509 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9067 | WI | MD | Nurse Practitioner |
| 9067-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension NE Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current |
Accepting new patients |
Locations
3329 N Richmond St
Appleton, WI 54911
Phone (920) 380-2715
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
2700 W 9th Ave
Ste 106
Oshkosh, WI 54904
Phone (414) 426-0265
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9067-33 | WI | |
| Nurse Practitioner | 363L00000X | 9067 | WI | Yes |
Addresses
Primary practice location
464 Cardinal LN
Howard, WI 54313-9569
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (920) 434-3880
Other practice location 1
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 923-7400
Other practice location 2
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 923-7400
Other practice location 3
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 303-8700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100092654 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sxiong250404@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Howard, WI
All providers in Howard, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.