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FELISHA-Y PHAM PA
NPI 1386255644
Physician Assistant in Fort Worth, TX

Active since August 11, 2020PECOS Enrolled
1500 W ROSEDALE ST, FORT WORTH, TX 76104(682) 885-3426 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Jan 18, 2023, Aug 11, 2020 (3 updates tracked since 2020).

About Felisha-y Pham Pa NPPES

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

FELISHA-Y PHAM PA (NPI 1386255644) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA16233) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386255644
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFELISHA-Y PHAMCredential: PA
Location Address1500 W ROSEDALE STFort Worth, TX 76104-7403
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 885-3426
Sole ProprietorNo
Enumeration DateAugust 11, 2020
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1386255644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA16233
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 W ROSEDALE ST, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Felisha-y Pham Pa 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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 8

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

DR. LISA A. DUCHAMP M.D.
Pediatrics
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
MS. GINA SERRANO CPNP
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
NISHA RATHORE M.D.
Pediatrics
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
USHA ANANTHASWAMY CPNP
Nurse Practitioner (Acute Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
AUTUMN BRIANNE MORRIS CPNP-PC
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
JUDITH JOSE BONIFACIO RN, MSN, CPNP-PC
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
JENNA L GRAF FNP
Nurse Practitioner (Family)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426
LINDSAY THATCHER CPNP
Nurse Practitioner (Primary Care)
1500 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3426

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 Felisha-y Pham's NPI number?

The NPI number for Felisha-y Pham is 1386255644. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Felisha-y Pham located?

Felisha-y Pham practices at 1500 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (682) 885-3426.

What is Felisha-y Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Felisha-y Pham enrolled in Medicare?

Yes. Felisha-y Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Felisha-y Pham was last updated on March 2, 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.