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MAI NICOLE LE PHAM
NPI 1174319552
Nurse Practitioner - Family in Oklahoma City, OK

Active since April 15, 2025PECOS Enrolled
411 NW 7TH ST, OKLAHOMA CITY, OK 73102(405) 413-4689 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mai Nicole Le Pham NPPES

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

MAI NICOLE LE PHAM (NPI 1174319552) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (218733) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174319552
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAI NICOLE LE PHAM
Location Address411 NW 7TH STOklahoma City, OK 73102-2810
Mailing Address2712 Sw 96th CtOklahoma City, OK 73159-6736 · (918) 360-5437
Phone(405) 413-4689
Sole ProprietorYes
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1174319552 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 OK · 218733
411 NW 7TH ST, Oklahoma City, OK 73102
Open in Google Maps ↗

Other Names 1

Professional Name (2)Nicole Thi Le

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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)

Mai Nicole Le 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 73102 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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

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

JAYCI R LEWIS PA-C
Physician Assistant
411 NW 7TH ST
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 358-6794

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 Mai Nicole Le Pham's NPI number?

The NPI number for Mai Nicole Le Pham is 1174319552. It was assigned to this individual provider in the NPPES registry on April 15, 2025. The provider is also known as Nicole Thi Le.

Where is Mai Nicole Le Pham located?

Mai Nicole Le Pham practices at 411 NW 7th St, Oklahoma City, OK 73102. The listed phone number is (405) 413-4689.

What is Mai Nicole Le Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mai Nicole Le Pham enrolled in Medicare?

Yes. Mai Nicole Le Pham is registered in the Medicare PECOS enrollment system.

What insurance does Mai Nicole Le Pham accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Mai Nicole Le 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 Mai Nicole Le Pham was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.