MS. CHHORN HOUN PHO PA-C
NPI 1023646882
Physician Assistant in Saint Francis, MN

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
22978 BUTTERFIELD DR NW, SAINT FRANCIS, MN 55070(763) 230-9248 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2022, Mar 28, 2020 (2 updates tracked since 2020).

About Ms. Chhorn Houn Pho Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHHORN HOUN PHO PA-C (NPI 1023646882) is an individual physician assistant in Saint Francis, Minnesota, licensed in Minnesota (13249) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023646882
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CHHORN HOUN PHOCredential: PA-C
Location Address22978 BUTTERFIELD DR NWSaint Francis, MN 55070-7710
Mailing Address1200 167th Ave NwAndover, MN 55304-2854 · (651) 528-3713
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 28, 2020
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
NPI 1023646882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 13249
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 13249 (MN)
Also ListedRehabilitation PractitionerTaxonomy 225400000X
22978 BUTTERFIELD DR NW, Saint Francis, MN 55070

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Chhorn Houn Pho Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628466265
PECOS Enrollment IDI20220131001467
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
22978 BUTTERFIELD DR NW
SAINT FRANCIS, MN 55070
Nurse Practitioner
22978 BUTTERFIELD DR NW
SAINT FRANCIS, MN 55070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chhorn Pho's NPI number?

The NPI number for Chhorn Pho is 1023646882. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Chhorn Pho located?

Chhorn Pho practices at 22978 Butterfield Dr NW, Saint Francis, MN 55070. The listed phone number is (763) 230-9248.

What is Chhorn Pho's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chhorn Pho enrolled in Medicare?

Yes. Chhorn Pho is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Chhorn Pho was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.