DONNA THANH PHAN FNP-BC
NPI 1295129732
Nurse Practitioner in Saint Louis, MO

Q: What is Donna Phan's NPI number?

The NPI number for Donna Phan is 1295129732. It was assigned to this individual provider in the NPPES registry on March 23, 2015. The provider is also known as Donnaha Thanhthao Ta.

Q: What is Donna Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Donna Phan was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment

9759 MANCHESTER RD, SAINT LOUIS, MO 63119(636) 669-2219 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Mar 14, 2017 (2 updates tracked since 2017).

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About Donna Thanh Phan Fnp-bc NPPES

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

DONNA THANH PHAN FNP-BC (NPI 1295129732) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2015009124) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1295129732

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDONNA THANH PHANCredential: FNP-BC

Location Address9759 MANCHESTER RDSaint Louis, MO 63119-1346

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534

Phone(636) 669-2219

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 23, 2015

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1295129732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2015009124

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2014025348 (MO)

9759 MANCHESTER RD, Saint Louis, MO 63119

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Other Names 1

Other Name (5)Donnaha Thanhthao Ta

Secondary Practice Location 1

Location 15425 Southfield CtrSaint Louis, MO 63123-5984 · Phone (314) 543-5258 · Fax (314) 543-5262

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Donna Thanh Phan Fnp-bc 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 ID5597076851

PECOS Enrollment IDI20150612002139

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

136 services81 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63119 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 4

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

ALLISON M RENSCHEN NP

Nurse Practitioner (Family)

9759 MANCHESTER RD
SAINT LOUIS, MO 63119

St. Louis County (314) 781-4922

DR. NNEKA UDONNA ICHOKU D.O., MPH

Family Medicine

9759 MANCHESTER RD
SAINT LOUIS, MO 63119

St. Louis County (314) 781-4922

ASHLEY REUTER

Internal Medicine

9759 MANCHESTER RD
SAINT LOUIS, MO 63119

St. Louis County (636) 669-2219

DR. JOSEPH THEODORE ECKELKAMP JR. MD

Family Medicine

9759 MANCHESTER RD
SAINT LOUIS, MO 63119

St. Louis County (636) 669-2219

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 Donna Phan's NPI number?

The NPI number for Donna Phan is 1295129732. It was assigned to this individual provider in the NPPES registry on March 23, 2015. The provider is also known as Donnaha Thanhthao Ta.

Where is Donna Phan located?

Donna Phan practices at 9759 Manchester Rd, Saint Louis, MO 63119. The listed phone number is (636) 669-2219.

What is Donna Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donna Phan enrolled in Medicare?

Yes. Donna Phan 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 Donna Phan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Donna 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.

Is Donna Phan affiliated with any hospitals?

According to CMS data, Donna Phan is affiliated with Ssm St Clare Health Center and Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Donna Phan was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.