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EVELYN PHAM
NPI 1457077794
Nurse Practitioner - Family in Temple, TX

Active since October 18, 2022PECOS Enrolled
4501 S GENERAL BRUCE DR STE 88, TEMPLE, TX 76502(254) 743-1603 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Evelyn Pham NPPES

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

EVELYN PHAM (NPI 1457077794) is an individual family provider in Temple, Texas, licensed in Texas (1174134) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457077794
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEVELYN PHAM
Location Address4501 S GENERAL BRUCE DR STE 88Temple, TX 76502-1466
Mailing Address1027 Antelope TrlTemple, TX 76504-1145
Phone(254) 743-1603
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2022
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1457077794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1174134
Also ListedRegistered NurseTaxonomy 163W00000X · License 972805 (TX)
4501 S GENERAL BRUCE DR STE 88, Temple, TX 76502
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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)

Evelyn Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163903923
PECOS Enrollment IDI20260220000466
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 76502 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

MONA HERAVI MD
Internal Medicine
4501 S GENERAL BRUCE DR STE 88
TEMPLE, TX 76502
Bell County (254) 743-1603
INSPIRATIONAL STYLES HAIR SALON
Durable Medical Equipment & Medical Supplies
4501 S GENERAL BRUCE DR STE 88
TEMPLE, TX 76502
Bell County (254) 624-1892
RAVEN MYCHELLE CROOK FNP-CNP
Nurse Practitioner (Family)
4501 S GENERAL BRUCE DR STE 88
TEMPLE, TX 76502
Bell County (254) 743-1603
KIMBERLY EARLE
Nurse Practitioner
4501 S GENERAL BRUCE DR STE 88
TEMPLE, TX 76502
Bell County (254) 778-1603

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 Evelyn Pham's NPI number?

The NPI number for Evelyn Pham is 1457077794. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Evelyn Pham located?

Evelyn Pham practices at 4501 S General Bruce Dr Ste 88, Temple, TX 76502. The listed phone number is (254) 743-1603.

What is Evelyn Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Evelyn Pham enrolled in Medicare?

Yes. Evelyn Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evelyn Pham was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.