DISA XAYAVONGSONE NP
NPI 1487427886
Nurse Practitioner - Psychiatric/Mental Health in Jamestown, NY
About Disa Xayavongsone Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DISA XAYAVONGSONE NP (NPI 1487427886) is an individual psychiatric/mental health provider in Jamestown, New York, licensed in New York (404954) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Buffalo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Disa Xayavongsone Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Disa Xayavongsone's NPI number?
The NPI number for Disa Xayavongsone is 1487427886. It was assigned to this individual provider in the NPPES registry on November 7, 2023.
Where is Disa Xayavongsone located?
Disa Xayavongsone practices at 107 Institute St, Jamestown, NY 14701. The listed phone number is (716) 484-4334.
What is Disa Xayavongsone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Disa Xayavongsone enrolled in Medicare?
Yes. Disa Xayavongsone is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Disa Xayavongsone was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Disa Xayavongsone, NP · NPI 1487427886
Psychiatric/Mental Health physician in Jamestown, New York. Individual provider, active in the CMS NPPES registry since November 7, 2023.
## Identity
- **NPI:** 1487427886 (Entity type: Individual)
- **Enumerated:** November 7, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 404954 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 107 INSTITUTE ST, Jamestown, NY 14701-6628
- **Phone:** (716) 484-4334
## 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:** March 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487427886) · Data from the CMS NPPES public registry.