MIADETTE PHENG-PHAL NP-C
NPI 1073044616
Nurse Practitioner - Primary Care in Lynn, MA

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miadette Pheng-phal Np-c NPPES

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

MIADETTE PHENG-PHAL NP-C (NPI 1073044616) is an individual primary care provider in Lynn, Massachusetts, licensed in Massachusetts (RN2270203) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073044616
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMIADETTE PHENG-PHALCredential: NP-C
Location Address269 UNION STLynn, MA 01901-1314
Mailing Address269 Union StLynn, MA 01901-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2017
NPI 1073044616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MA · RN2270203
269 UNION ST, Lynn, MA 01901

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miadette Pheng-phal Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163793944
PECOS Enrollment IDI20170814001007
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
524 services62 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
138 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services53 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
65 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01901 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Social Worker (Clinical)
269 UNION ST
LYNN, MA 01901
Counselor (Mental Health)
269 UNION ST
LYNN, MA 01901
Registered Nurse
269 UNION ST
LYNN, MA 01901
Dentist
269 UNION ST, 2ND FLOOR
LYNN, MA 01901
Registered Nurse
269 UNION ST
LYNN, MA 01901
Registered Nurse
269 UNION ST
LYNN, MA 01901
Student in an Organized Health Care Education/Training Program
269 UNION ST
LYNN, MA 01901
Nurse Practitioner
269 UNION ST
LYNN, MA 01901

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 Miadette Pheng-phal's NPI number?

The NPI number for Miadette Pheng-phal is 1073044616. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Miadette Pheng-phal located?

Miadette Pheng-phal practices at 269 Union St, Lynn, MA 01901. The listed phone number is (781) 581-3900.

What is Miadette Pheng-phal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Miadette Pheng-phal enrolled in Medicare?

Yes. Miadette Pheng-phal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Miadette Pheng-phal accept?

Health plans from Anthem Blue Cross and Blue Shield list Miadette Pheng-phal 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.

Is Miadette Pheng-phal affiliated with any hospitals?

According to CMS data, Miadette Pheng-phal is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Miadette Pheng-phal was last updated on March 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.