JENSON PAN PHUNG MD
NPI 1326786070
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Jenson Pan Phung Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENSON PAN PHUNG MD (NPI 1326786070) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).
NPPES Registry Identity
Specialties & Licenses
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
Jenson Pan Phung Md 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
3Medicare enrollment records show Jenson Phung reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Ponsford, MN 56575
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: White Earth Indian Health Center
- 50 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNOther 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
MINNEAPOLIS, MN 55455
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 Jenson Phung's NPI number?
The NPI number for Jenson Phung is 1326786070. It was assigned to this individual provider in the NPPES registry on May 23, 2022.
Where is Jenson Phung located?
Jenson Phung practices at 420 Delaware Street SE Mmc 284, Minneapolis, MN 55455. The listed phone number is (612) 626-5454.
What is Jenson Phung's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jenson Phung enrolled in Medicare?
Yes. Jenson Phung 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 Jenson Phung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenson Phung reassigns Medicare benefits to 3 organizations: Fairview Health Services (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN) and Pine Point Health Station (Ponsford, MN). 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 Jenson Phung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jenson Phung affiliated with any hospitals?
According to CMS data, Jenson Phung is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Jenson Phung was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jenson Pan Phung, MD · NPI 1326786070
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1326786070 (Entity type: Individual)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 DELAWARE STREET SE, MMC 284, Minneapolis, MN 55455-0341
- **Phone:** (612) 626-5454
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Health Services (NPI 1013994359, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Pine Point Health Station (NPI 1679587331, Ponsford, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2022
## Record status
- **NPPES last updated:** May 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1326786070) · Data from the CMS NPPES public registry.