DR. PHOUTPHONG MANIVONG DNP, ARPN, CRNA
NPI 1447130620
Nurse Anesthetist, Certified Registered in Saint Cloud, MN
About Dr. Phoutphong Manivong Dnp, Arpn, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHOUTPHONG MANIVONG DNP, ARPN, CRNA (NPI 1447130620) is an individual nurse anesthetist, certified registered in Saint Cloud, Minnesota, licensed in Minnesota (156072) and active in the NPI registry since September 2025. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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
Dr. Phoutphong Manivong Dnp, Arpn, Crna 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.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.9 for a new patient copayment and $17.43 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 56301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447130620, enumerated as an "individual" on September 06, 2025.
The provider is located at 5918 CRESTWOOD CT SAINT CLOUD, MN 56301 and the phone number is (320) 493-2757.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
