Chhorn Pho, PA-C
NPI 1023646882 · Physician Assistant · Saint Francis, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chhorn Pho, PA-C is a Physician Assistant provider in Saint Francis, MN (NPI 1023646882).
Provider details
- NPI number
- 1023646882
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 13249 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
- Rehabilitation Practitioner225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8649 Martin Way ELacey, WA 98516-5812Phone: (651) 528-3713
Registry dates
- Enumerated
- 2020-03-28
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Frequently asked questions
- What is Chhorn Pho's NPI number?
- Chhorn Pho's National Provider Identifier (NPI) is 1023646882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chhorn Pho's specialty?
- Chhorn Pho is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Chhorn Pho located?
- Chhorn Pho's practice location on file with NPPES is 22978 Butterfield Dr Nw, Saint Francis, MN 55070-7710.
- What is Chhorn Pho's phone number?
- The practice phone number listed in the NPPES registry for Chhorn Pho is (763) 230-9248.
- Does Chhorn Pho accept Medicare?
- Chhorn Pho is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Chhorn Pho's NPI active?
- Yes — Chhorn Pho's NPI (1023646882) is active in the NPPES registry as of the last update on 2025-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.