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ANNIE PHAN
NPI 1003617184
Nurse Practitioner in Lillington, NC

Active since March 24, 2025PECOS Enrolled
130 PINE STATE ST STE C, LILLINGTON, NC 27546(910) 474-0050 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annie Phan NPPES

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

ANNIE PHAN (NPI 1003617184) is an individual nurse practitioner in Lillington, North Carolina, licensed in North Carolina (5021862) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003617184
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNIE PHAN
Location Address130 PINE STATE ST STE CLillington, NC 27546-9414
Mailing Address130 Pine State St Ste CLillington, NC 27546-9414 · (910) 474-0050 · Fax (863) 228-8484
Phone(910) 474-0050
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2025
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1003617184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5021862
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
130 PINE STATE ST STE C, Lillington, NC 27546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annie Phan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951800705
PECOS Enrollment IDI20250818004539
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27546 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

DR. ALEXIS DENSIE BLUE-WILSON
Social Worker (Clinical)
130 PINE STATE ST STE C
LILLINGTON, NC 27546
Harnett County (910) 929-2103

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 Annie Phan's NPI number?

The NPI number for Annie Phan is 1003617184. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Annie Phan located?

Annie Phan practices at 130 Pine State St Ste C, Lillington, NC 27546. The listed phone number is (910) 474-0050.

What is Annie Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Annie Phan enrolled in Medicare?

Yes. Annie Phan is registered in the Medicare PECOS enrollment system.

What insurance does Annie Phan accept?

Health plans from Blue Cross and Blue Shield of NC list Annie Phan 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 Annie Phan was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.