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JENNY PHAN PA-C
NPI 1124568225
Physician Assistant in Katy, TX

Active since March 08, 2017PECOS Enrolled
21770 KINGSLAND BLVD, KATY, TX 77450(281) 646-0740 Get Directions Write a Review

NPPES record last updated: March 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenny Phan Pa-c NPPES

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

JENNY PHAN PA-C (NPI 1124568225) is an individual physician assistant in Katy, Texas and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124568225
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNY PHANCredential: PA-C
Location Address21770 KINGSLAND BLVDKaty, TX 77450-2513
Mailing Address21770 Kingsland BlvdKaty, TX 77450-2513
Phone(281) 646-0740
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 8, 2017
Last NPPES UpdateMarch 16, 2019
✔ NPI 1124568225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21770 KINGSLAND BLVD, Katy, TX 77450
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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, Imperial Insurance Companies, Inc., Molina Healthcare 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)

Jenny Phan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113403981
PECOS Enrollment IDI20260112001312
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 77450 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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 7

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

QUYEN TRINH DO
Family Medicine
21770 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 646-0740
TRANG THUY TRINH, MD, PA
Family Medicine
21770 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 646-0740
SHARA LEANN MCKINLEY FNP
Nurse Practitioner (Family)
21770 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 646-0743
INNOVUS HEALTH, PLLC
Family Medicine
21770 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 646-0740
MRS. NATASHA NICOLE YOUNGBLOOD MSN, FNP-BC
Nurse Practitioner (Family)
21770 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 646-0740
DR. JAY MANGUM DC
Chiropractor
21770 KINGSLAND BLVD
KATY, TX 77450
Harris County (800) 404-6050
MS. SHANNON NICOLE GIBSON P.A.-C
Physician Assistant
21770 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 646-0740

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 Jenny Phan's NPI number?

The NPI number for Jenny Phan is 1124568225. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Jenny Phan located?

Jenny Phan practices at 21770 Kingsland Blvd, Katy, TX 77450. The listed phone number is (281) 646-0740.

What is Jenny Phan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenny Phan enrolled in Medicare?

Yes. Jenny Phan is registered in the Medicare PECOS enrollment system.

What insurance does Jenny Phan accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Jenny 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 Jenny Phan was last updated on March 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.