MIA PHAN NP-C
NPI 1245761931
Nurse Practitioner - Family in Minneapolis, MN
About Mia Phan Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIA PHAN NP-C (NPI 1245761931) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (6983) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mia Phan Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Mia Phan's NPI number?
The NPI number for Mia Phan is 1245761931. It was assigned to this individual provider in the NPPES registry on March 23, 2017.
Where is Mia Phan located?
Mia Phan practices at 500 Harvard St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.
What is Mia Phan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mia Phan enrolled in Medicare?
Yes. Mia Phan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mia Phan was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mia Phan, NP-C · NPI 1245761931
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 23, 2017.
## Identity
- **NPI:** 1245761931 (Entity type: Individual)
- **Enumerated:** March 23, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6983 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 HARVARD ST SE, Minneapolis, MN 55455-0363
- **Phone:** (612) 672-7422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1245761931) · Data from the CMS NPPES public registry.