JACQUELINE PHAM - NPI 1114534542 - Nurse Practitioner in Mission Viejo, CA

Q: What is Jacqueline Pham's NPI number?

The NPI number for Jacqueline Pham is 1114534542. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Q: What is Jacqueline 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 Jacqueline Pham was last updated on June 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacqueline Pham NPPES

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

JACQUELINE PHAM (NPI 1114534542) is an individual family provider in Mission Viejo, California, licensed in California (95011232) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newport Beach.

NPPES Registry Identity

NPI1114534542

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE PHAM

Location Address25272 MARGUERITE PKWYMission Viejo, CA 92692-2901

Mailing Address14 Lucero WIrvine, CA 92620-1921 · (626) 991-7986

Phone(949) 581-9120

Sole ProprietorYes

Enumeration DateSeptember 29, 2020

Last NPPES UpdateJune 4, 20212 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1114534542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95011232

25272 MARGUERITE PKWY, Mission Viejo, CA 92692

Open in Google Maps ↗

Secondary Practice Location 1

Location 120271 SW Birch St Ste 100Newport Beach, CA 92660-1714 · Phone (949) 553-0260

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Pham 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 92692 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.95

Improvement Activities

Cost

89.44

Other Providers at the Same Location NPPES 10

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

CAROLINE EUN YUNG OH NP

Nurse Practitioner (Family)