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DR. SANOUK XIONG DNP, NP-C FNP
NPI 1083114300
Nurse Practitioner - Primary Care in Brooklyn Center, MN

Active since February 13, 2018PECOS Enrolled
4112 JOYCE LN, BROOKLYN CENTER, MN 55429(763) 742-9757 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2018, Apr 10, 2018, Mar 15, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Sanouk Xiong Dnp, Np-c Fnp NPPES

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

DR. SANOUK XIONG DNP, NP-C FNP (NPI 1083114300) is an individual primary care provider in Brooklyn Center, Minnesota, licensed in Minnesota (5780) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083114300
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameDR. SANOUK XIONGCredential: DNP, NP-C FNP
Location Address4112 JOYCE LNBrooklyn Center, MN 55429-4008
Mailing Address4112 Joyce LnBrooklyn Center, MN 55429-4008 · (763) 742-9757
Phone(763) 742-9757
Sole ProprietorNo
Enumeration DateFebruary 13, 2018
Last NPPES UpdateApril 17, 20184 updates tracked since enumeration
✔ NPI 1083114300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MN · 5780
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5780 (MN)
4112 JOYCE LN, Brooklyn Center, MN 55429
Open in Google Maps ↗

Other Identifiers 1

OtherF01180845MN · American Academy Of Nurse Practitoners

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanouk Xiong Dnp, Np-c Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55429 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sanouk Xiong's NPI number?

The NPI number for Sanouk Xiong is 1083114300. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Sanouk Xiong located?

Sanouk Xiong practices at 4112 Joyce Ln, Brooklyn Center, MN 55429. The listed phone number is (763) 742-9757.

What is Sanouk Xiong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sanouk Xiong enrolled in Medicare?

Yes. Sanouk Xiong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanouk Xiong was last updated on April 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.