DONNA THANH PHAN FNP-BC
NPI 1295129732
Nurse Practitioner in Saint Louis, MO
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 Health St Mary's Hospital - St Louis, and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Donna Phan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 263 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Mary's Hospital - St Louis
Acute Care Hospitals · Richmond Heights, MOPhysician 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.
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.
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.
Which organizations bill Medicare for Donna Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Phan reassigns Medicare benefits to 2 organizations: Ssm Medical Group, Inc. (Fenton, MO) and Mercy Aco Clinical Services Inc (Chesterfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Phan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma 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 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 3 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.
# Donna Thanh Phan, FNP-BC · NPI 1295129732
Nurse Practitioner physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 23, 2015.
## Identity
- **NPI:** 1295129732 (Entity type: Individual)
- **Enumerated:** March 23, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2015009124 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 9759 MANCHESTER RD, Saint Louis, MO 63119-1346
- **Phone:** (636) 669-2219
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO); Mercy Aco Clinical Services Inc (NPI 1063965093, Chesterfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295129732) · Data from the CMS NPPES public registry.