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CHAJLI CHEN THAO PA-C
NPI 1396530119
Physician Assistant in Fridley, MN

Active since April 11, 2025PECOS EnrolledAccepts Medicare Assignment
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 586-5844 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chajli Chen Thao Pa-c NPPES

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

CHAJLI CHEN THAO PA-C (NPI 1396530119) is an individual physician assistant in Fridley, Minnesota and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396530119
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHAJLI CHEN THAOCredential: PA-C
Location Address6401 UNIVERSITY AVE NEFridley, MN 55432-4341
Mailing Address6401 University Ave NeFridley, MN 55432-4341
Phone(763) 586-5844
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 11, 2025
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1396530119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
6401 UNIVERSITY AVE NE, Fridley, MN 55432
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Chajli Chen Thao 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 ID9234646837
PECOS Enrollment IDI20250729001686
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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 20

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

CHARLETTE KAY CARLOTTO LICSW
Social Worker (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
AMY MOORE RN CDE
Registered Nurse (Diabetes Educator)
6401 UNIVERSITY AVE NE, SUITE 100
FRIDLEY, MN 55432
Anoka County (763) 502-4877
MISS CHANTEL NOEL OLSON APRN, CNP, FNP-BC
Nurse Practitioner (Family)
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
JOSHUA JAMES THOM MD
Otolaryngology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5923
FAIRVIEW EXPRESS CARE
Internal Medicine (Cardiovascular Disease)
6401 UNIVERSITY AVE NE, SECOND FLOOR
FRIDLEY, MN 55432
Anoka County (763) 502-6602
JUDITH M. NELSON RN, CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
LAURA SUE HENSON PSYD LP
Psychologist (Clinical)
6401 UNIVERSITY AVE NE, BHSI LLC SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
IAN J LALICH MD
Otolaryngology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (612) 626-5900

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 Chajli Thao's NPI number?

The NPI number for Chajli Thao is 1396530119. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Chajli Thao located?

Chajli Thao practices at 6401 University Ave NE, Fridley, MN 55432. The listed phone number is (763) 586-5844.

What is Chajli Thao's specialty?

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

Is Chajli Thao enrolled in Medicare?

Yes. Chajli Thao 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.

What insurance does Chajli Thao accept?

Health plans from Medica list Chajli Thao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chajli Thao affiliated with any hospitals?

According to CMS data, Chajli Thao is affiliated with Fairview Lakes Health Services.

When was this NPI record last updated?

The NPPES record for Chajli Thao was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.