1. Home
  2. Directory
  3. Kansas
  4. Shawnee
  5. Nurse Practitioner
  6. NPI Profile

PANG CHENG MOUA APRN FNP-BC
NPI 1801436431
Nurse Practitioner - Family in Shawnee, KS

Active since January 12, 2020PECOS Enrolled
12802 JOHNSON DR, SHAWNEE, KS 66216(913) 962-7600 Get Directions Write a Review

NPPES record last updated: January 12, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pang Cheng Moua Aprn Fnp-bc NPPES

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

PANG CHENG MOUA APRN FNP-BC (NPI 1801436431) is an individual family provider in Shawnee, Kansas, licensed in Kansas (79206) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801436431
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePANG CHENG MOUACredential: APRN FNP-BC
Location Address12802 JOHNSON DRShawnee, KS 66216-1645
Mailing Address12802 Johnson DrShawnee, KS 66216-1645 · (913) 962-7600
Phone(913) 962-7600
Sole ProprietorNo
Enumeration DateJanuary 12, 2020
✔ NPI 1801436431 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 KS · 79206
12802 JOHNSON DR, Shawnee, KS 66216
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pang Cheng Moua Aprn Fnp-bc 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 Pang Moua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates Of Kansas LLC
168 mi
Multi-Specialty
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 260 clinicians in this Medicare group
NPI 1780261701 (877) 868-5351

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 66216 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 12

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

KASHA ALLEN
Occupational Therapy Assistant
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 962-7600
MOIRA FISHER
Physical Therapist
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 228-1407
RUTH A BEEZHOLD MS CCC/SLP
Speech-Language Pathologist
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 962-7600
MALISSA R WILLIAMS
Occupational Therapist
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 228-1407
GIOVANNI K ROBINSON PT
Physical Therapist
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 962-7600
CHRISTOPHER BATES
Physical Therapy Assistant
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 962-7600
JOELLEN BURROUGHS
Occupational Therapy Assistant
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 962-7600
ARC SWEET LIFE ROSEHILL LLC
Skilled Nursing Facility
12802 JOHNSON DR
SHAWNEE, KS 66216
Johnson County (913) 962-7600

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 Pang Moua's NPI number?

The NPI number for Pang Moua is 1801436431. It was assigned to this individual provider in the NPPES registry on January 12, 2020.

Where is Pang Moua located?

Pang Moua practices at 12802 Johnson Dr, Shawnee, KS 66216. The listed phone number is (913) 962-7600.

What is Pang Moua's specialty?

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

Is Pang Moua enrolled in Medicare?

Yes. Pang Moua is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pang Moua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pang Moua reassigns Medicare benefits to Signify Health Medical Associates Of Kansas LLC (Wichita, KS). 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 Pang Moua'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 Pang Moua was last updated on January 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.