Individual provider Active NPI

Zoua Xiong, PA-C

  • Physician Assistant
  • Bloomington, MN
National Provider Identifier
1700410792
Registry record updated Jan 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13268 Issued in MN
Practice address
1101 E 78TH St #100
Bloomington, MN 55420-5354
Phone
(952) 854-5034
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13268 MN Primary

Addresses

Primary practice location

1101 E 78TH St #100
Bloomington, MN 55420-5354

Mailing address

1101 E 78TH St #100
Bloomington, MN 55420-2072
Phone (952) 854-5034

Other practice location 1

2115 County Road D E Ste C100
Maplewood, MN 55109-5354
Phone (651) 358-7020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408001427 MN Practitioner - Physician Assistant 1355758442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

1900 Silver Lake NWRD
Suite 110
New Brighton, MN 55112-1789

1900 Silver Lake Rd NW
New Brighton, MN 55112-1789
Phone (651) 628-9566

Merit-based Incentive Payment System (MIPS)

Final score
61.29 of 100Reported as individual
Quality
51.79
Promoting interoperability
0
Improvement activities
40
Cost
85.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13268MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Clinics PLLC CurrentSince Mar 1, 2020 Accepting new patients
Family Support Services Inc. PastSince Feb 7, 2021 Accepting new patients

Locations

2115 County Road D E
Ste C100
Saint Paul, MN 55109
Phone (651) 358-7020

Organizations & group practices 3

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1700410792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E 78TH ST #100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202072",
            "telephone_number": "952-854-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 78TH ST #100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205354",
            "telephone_number": "952-854-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 County Road D E Ste C100",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095354",
            "country_code": "US",
            "telephone_number": "651-358-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "ZOUA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.