Active NPI
Pao Doua Vang, DNP, APNP, FNP-C
- Family Nurse Practitioner
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8400
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 262-7800
- Fax
- (612) 262-7022
- NPI assigned
- Dec 30, 2021
- Last updated
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8400 | MN | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pvang662020@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 262-7633
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8400 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Wellspring Health Center PLLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Lifespark Medical Group, PA | Family | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Livea Medical PLLC | Past | Accepting new patients | |
| Sports & Family Wellness, PLLC | Past | Accepting new patients |
Locations
6485 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 933-1150
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213
Interoperability endpoints
- pvang662020@excellian.direct.allina.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Lifesprk Health
- Geriatric Medicine (Family Medicine) Physician
- St Louis Park, MN
- NPI 1427551746
-
- Medical Specialty Clinic/Center
- Hopkins, MN
- NPI 1235380981
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Obesity Medicine (Preventive Medicine) Physician
- Coon Rapids, MN
- NPI 1679386346
-
- Medical Specialty Clinic/Center
- Hopkins, MN
- NPI 1982030706
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1659032795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-7800",
"fax_number": "612-262-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "PAO",
"middle_name": "DOUA",
"credential": "DNP, APNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-30",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "8400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pvang662020@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2925 Chicago Ave",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554071321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.