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LEE PAO XIONG FNP
NPI 1407589575
Nurse Practitioner - Family in Sacramento, CA

Active since July 06, 2022PECOS Enrolled
3810 ROSIN CT STE 100, SACRAMENTO, CA 95834(916) 779-7656 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lee Pao Xiong Fnp NPPES

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

LEE PAO XIONG FNP (NPI 1407589575) is an individual family provider in Sacramento, California, licensed in California (NP95021470) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407589575
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEE PAO XIONGCredential: FNP
Location Address3810 ROSIN CT STE 100Sacramento, CA 95834-1657
Mailing Address3245 Western AveSacramento, CA 95838-4701 · (916) 284-4138
Phone(916) 779-7656
Sole ProprietorNo
Enumeration DateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1407589575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95021470
3810 ROSIN CT STE 100, Sacramento, CA 95834
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Pao Xiong 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.

Medicare Billing Reassignment

Medicare enrollment records show Lee Xiong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peach Tree Healthcare
Same address
Federally Qualified Health Center (FQHC)
3810 ROSIN CT, SUITE 100
Sacramento, CA 95834
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1164886040 (530) 741-6245

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95834 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 7

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

DR. CRYSTAL BARAJAS DNP
Nurse Practitioner
3810 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 779-7656
MARVI DHALIWAL MD
Family Medicine
3810 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 779-7656
KHALILAH C DANN M.D.
Family Medicine
3810 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (530) 749-3242
ANGELA NGO OD
Optometrist
3810 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (530) 749-3242
ARACELI GUTIERREZ
Nurse Practitioner (Primary Care)
3810 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 779-7656
RUSTAMBIR SINGH MD
Family Medicine
3810 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 779-7656
AMANDA O'HARA DO
Family Medicine
3810 ROSIN CT STE 100
SACRAMENTO, CA 95834
Sacramento County (916) 779-7656

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 Lee Xiong's NPI number?

The NPI number for Lee Xiong is 1407589575. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Lee Xiong located?

Lee Xiong practices at 3810 Rosin Ct Ste 100, Sacramento, CA 95834. The listed phone number is (916) 779-7656.

What is Lee Xiong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lee Xiong enrolled in Medicare?

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

Which organization bills Medicare for Lee Xiong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Xiong reassigns Medicare benefits to Peach Tree Healthcare (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lee Xiong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Xiong was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.