CHAI THAO LO DNP
NPI 1639542640
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN
About Chai Thao Lo Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAI THAO LO DNP (NPI 1639542640) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (X064296378810) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chai Thao Lo Dnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Chai Lo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55415
- Reassigned Medicare billing, Minnesota enrollment
- 192 clinicians in this Medicare group
Minneapolis, MN 55415
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
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 Chai Lo's NPI number?
The NPI number for Chai Lo is 1639542640. It was assigned to this individual provider in the NPPES registry on November 12, 2015.
Where is Chai Lo located?
Chai Lo practices at 525 Portland Ave # Mc963, Minneapolis, MN 55415. The listed phone number is (612) 348-5553.
What is Chai Lo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Chai Lo enrolled in Medicare?
Yes. Chai Lo 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.
Which organizations bill Medicare for Chai Lo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chai Lo reassigns Medicare benefits to 2 organizations: Hennepin County (Minneapolis, MN) and Hennepin Healthcare System, Inc (Minneapolis, MN). Each 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 Chai Lo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chai Lo accept?
Health plans from HealthPartners list Chai Lo 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.
When was this NPI record last updated?
The NPPES record for Chai Lo was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Chai Thao Lo, DNP · NPI 1639542640
Psychiatric/Mental Health physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since November 12, 2015.
## Identity
- **NPI:** 1639542640 (Entity type: Individual)
- **Enumerated:** November 12, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** X064296378810 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 PORTLAND AVE # MC963, Minneapolis, MN 55415-1533
- **Phone:** (612) 348-5553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hennepin County (NPI 1972685568, Minneapolis, MN); Hennepin Healthcare System, Inc (NPI 1033138136, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639542640) · Data from the CMS NPPES public registry.