MR. THANH PHAN APRN
NPI 1083377568
Nurse Practitioner - Psychiatric/Mental Health in Plano, TX

Q: What is Thanh Phan's NPI number?

The NPI number for Thanh Phan is 1083377568. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Q: What is Thanh Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Thanh Phan was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since October 20, 2021PECOS EnrolledAccepts Medicare Assignment

3447 RENNER RD STE 120, PLANO, TX 75074(469) 384-2989(469) 666-8180 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2023, Oct 20, 2021 (2 updates tracked since 2021).

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About Mr. Thanh Phan Aprn NPPES

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

MR. THANH PHAN APRN (NPI 1083377568) is an individual psychiatric/mental health provider in Plano, Texas, licensed in Texas (1057298) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083377568

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. THANH PHANCredential: APRN

Location Address3447 RENNER RD STE 120Plano, TX 75074-0051

Mailing Address3447 Renner Rd Ste 120Plano, TX 75074-0051 · (469) 384-2989 · Fax (469) 666-8180

Phone(469) 384-2989

Fax(469) 666-8180

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 20, 2021

Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1083377568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1057298

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1057298 (TX)

3447 RENNER RD STE 120, Plano, TX 75074

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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 Texas, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thanh Phan Aprn 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 ID9032500657

PECOS Enrollment IDI20211215001518

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.

Medicare Billing Reassignments

Medicare enrollment records show Thanh Phan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tp Innovation Psychiatry

Same address

Psychiatric/Mental Health

3447 RENNER RD STE 120
Plano, TX 75074

Reassigned Medicare billing, Texas enrollment

NPI 1124808829 (972) 876-0387

North Star Psychiatry PLLC

9.7 mi

Mental Health (Including Community Mental Health Center)

8201 OHIO DR STE 112
Plano, TX 75024

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1194179069 (516) 724-5435

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75074 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 3

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

HUSNAIN ASHRAF M.D

Psychiatry & Neurology (Psychiatry)

3447 RENNER RD STE 120
PLANO, TX 75074

Collin County (469) 384-2989

TP INNOVATION PSYCHIATRY

Nurse Practitioner (Psychiatric/Mental Health)

3447 RENNER RD STE 120
PLANO, TX 75074

Collin County (972) 876-0387

PAVAN PAMADURTHI M.D., P.A.

Psychiatry & Neurology (Psychiatry)

3447 RENNER RD STE 120
PLANO, TX 75074

Collin County (469) 941-4546

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 Thanh Phan's NPI number?

The NPI number for Thanh Phan is 1083377568. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Thanh Phan located?

Thanh Phan practices at 3447 Renner Rd Ste 120, Plano, TX 75074. The listed phone number is (469) 384-2989.

What is Thanh Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Thanh Phan enrolled in Medicare?

Yes. Thanh Phan 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.

Which organizations bill Medicare for Thanh Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thanh Phan reassigns Medicare benefits to 2 organizations: Tp Innovation Psychiatry (Plano, TX) and North Star Psychiatry PLLC (Plano, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thanh Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thanh Phan accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Thanh 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 Thanh Phan was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.