THUY LINH PHAM APRN
NPI 1104654862
Nurse Practitioner - Adult Health in Lakeland, FL

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
3647 INNOVATION DR, LAKELAND, FL 33812(863) 272-6990 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Mar 14, 2026, Nov 7, 2024 and 1 more (4 updates tracked since 2024).

About Thuy Linh Pham Aprn NPPES

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

THUY LINH PHAM APRN (NPI 1104654862) is an individual adult health provider in Lakeland, Florida, licensed in Florida (APRN11036048) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104654862
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHUY LINH PHAMCredential: APRN
Location Address3647 INNOVATION DRLakeland, FL 33812-4106
Mailing Address3647 Innovation DrLakeland, FL 33812-4106
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2024
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1104654862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · APRN11036048
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11036048 (FL)
3647 INNOVATION DR, Lakeland, FL 33812

Secondary Practice Location 1

Location 11717 S Orange Ave Ste 103Orlando, FL 32806-2946 · Phone (321) 841-4344 · Fax (321) 843-1753

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

Thuy Linh Pham 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 ID6800329632
PECOS Enrollment IDI20241031001408
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 33812 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

Internal Medicine (Cardiovascular Disease)
3647 INNOVATION DR
LAKELAND, FL 33812
Internal Medicine (Cardiovascular Disease)
3647 INNOVATION DR
LAKELAND, FL 33812

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 Thuy Linh Pham's NPI number?

The NPI number for Thuy Linh Pham is 1104654862. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Thuy Linh Pham located?

Thuy Linh Pham practices at 3647 Innovation Dr, Lakeland, FL 33812. The listed phone number is (863) 272-6990.

What is Thuy Linh Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thuy Linh Pham enrolled in Medicare?

Yes. Thuy Linh Pham 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 Thuy Linh Pham accept?

Health plans from AmeriHealth Caritas Next list Thuy Linh Pham 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 Thuy Linh Pham was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.