Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pengxiao Cao

Individual provider Family Nurse Practitioner · NPI 1578242897

Pengxiao Cao is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2022, 4 years ago. Practices with Little Clinic of in LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2023
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Practice location Address checks out

9440 Brownsboro Rd
Louisville, KY 40241-1200
Phone: (502) 618-8317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3018907 (KY)

Record details

NPI number1578242897
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Little Clinic Of In Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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