MAI LEE CHANG PA-C
NPI 1114479003
Physician Assistant - Medical in Saint Paul, MN
About Mai Lee Chang Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAI LEE CHANG PA-C (NPI 1114479003) is an individual medical provider in Saint Paul, Minnesota, licensed in Minnesota (12128) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mai Lee Chang Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAINT PAUL, MN 55117
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 Mai Chang's NPI number?
The NPI number for Mai Chang is 1114479003. It was assigned to this individual provider in the NPPES registry on October 26, 2016.
Where is Mai Chang located?
Mai Chang practices at 1544 Timberlake Rd, Saint Paul, MN 55117. The listed phone number is (651) 558-2191.
What is Mai Chang's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Mai Chang enrolled in Medicare?
Yes. Mai Chang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mai Chang was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mai Lee Chang, PA-C · NPI 1114479003
Medical physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since October 26, 2016.
## Identity
- **NPI:** 1114479003 (Entity type: Individual)
- **Enumerated:** October 26, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 12128 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1544 TIMBERLAKE RD, Saint Paul, MN 55117-3946
- **Phone:** (651) 558-2191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 26, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1114479003) · Data from the CMS NPPES public registry.