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PANG HOUA LEE-VANG NP
NPI 1093275240
Nurse Practitioner in Brooklyn Park, MN

Active since March 22, 2019PECOS Enrolled
4108 81ST AVE N, BROOKLYN PARK, MN 55443(612) 281-8727 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pang Houa Lee-vang Np NPPES

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

PANG HOUA LEE-VANG NP (NPI 1093275240) is an individual nurse practitioner in Brooklyn Park, Minnesota, licensed in Minnesota (6476) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093275240
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePANG HOUA LEE-VANGCredential: NP
Location Address4108 81ST AVE NBrooklyn Park, MN 55443-2545
Mailing Address4108 81st Ave NBrooklyn Park, MN 55443-2545 · (612) 281-8727
Phone(612) 281-8727
Sole ProprietorNo
Enumeration DateMarch 22, 2019
✔ NPI 1093275240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 6476
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4108 81ST AVE N, Brooklyn Park, MN 55443
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pang Houa Lee-vang Np 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 55443 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 Pang Lee-vang's NPI number?

The NPI number for Pang Lee-vang is 1093275240. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Pang Lee-vang located?

Pang Lee-vang practices at 4108 81st Ave N, Brooklyn Park, MN 55443. The listed phone number is (612) 281-8727.

What is Pang Lee-vang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Pang Lee-vang enrolled in Medicare?

Yes. Pang Lee-vang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pang Lee-vang was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.