DER XIONG DNP
NPI 1700465440
Nurse Practitioner - Family in Plymouth, MN

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
6050 SYCAMORE LN N, PLYMOUTH, MN 55442(651) 968-5201(651) 968-5903 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 24, 2023, Apr 7, 2021 (2 updates tracked since 2021).

About Der Xiong Dnp NPPES

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

DER XIONG DNP (NPI 1700465440) is an individual family provider in Plymouth, Minnesota, licensed in Minnesota (8093) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Maple Grove Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700465440
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDER XIONGCredential: DNP
Location Address6050 SYCAMORE LN NPlymouth, MN 55442-1402
Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925
Fax(651) 968-5903
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 7, 2021
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1700465440 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 MN · 8093
6050 SYCAMORE LN N, Plymouth, MN 55442

Accepted 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

Der Xiong 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.

PECOS PAC ID547679896
PECOS Enrollment IDI20210517002584
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.

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55442 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 19

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

Durable Medical Equipment & Medical Supplies
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Nurse Practitioner (Family)
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Nurse Practitioner
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442
Physician Assistant
6050 SYCAMORE LN N
PLYMOUTH, MN 55442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700465440, enumerated as an "individual" on April 07, 2021.

The provider is located at 6050 SYCAMORE LN N PLYMOUTH, MN 55442 and the phone number is (651) 968-5201.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.

Der Xiong is affiliated with: MAPLE GROVE HOSPITAL.