MISS LOAN VU MINH PHAM DNP - NPI 1053440065 - Nurse Practitioner in Fife, WA

Q: What is Loan Pham's NPI number?

The NPI number for Loan Pham is 1053440065. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Loan Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Loan Pham was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Miss Loan Vu Minh Pham Dnp NPPES

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

MISS LOAN VU MINH PHAM DNP (NPI 1053440065) is an individual family provider in Fife, Washington, licensed in California (16368) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053440065

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS LOAN VU MINH PHAMCredential: DNP

Location Address4505 PACIFIC HWY E STE C2Fife, WA 98424-2638

Mailing Address3345 Michelson Dr Ste 100Irvine, CA 92612-0693 · (888) 227-3312

Phone(714) 880-5065

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateOctober 23, 20234 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1053440065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 16368✔ Licensed in MT · NUR-APRN-LIC-173734✔ Licensed in OR · 202101970NP-PP

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 16368 (CA), AP61138359 (WA)

Also ListedClinical Nurse Specialist · Community Health/Public HealthTaxonomy 364SC1501X · License 1709 (CA)

4505 PACIFIC HWY E STE C2, Fife, WA 98424

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.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)

Miss Loan Vu Minh Pham Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98424 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 5

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

PAUL ALVES

Nurse Practitioner (Psychiatric/Mental Health)