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CHRISTINE KIEU PHAN MSN, PMHNP-BC
NPI 1487400917
Nurse Practitioner in La Palma, CA

Active since April 25, 2024PECOS Enrolled
20 CENTERPOINTE DR, LA PALMA, CA 90623(657) 325-8313 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2024, Sep 3, 2024, Apr 25, 2024 (3 updates tracked since 2024).

About Christine Kieu Phan Msn, Pmhnp-bc NPPES

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

CHRISTINE KIEU PHAN MSN, PMHNP-BC (NPI 1487400917) is an individual nurse practitioner in La Palma, California, licensed in California (95029861) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487400917
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHRISTINE KIEU PHANCredential: MSN, PMHNP-BC
Location Address20 CENTERPOINTE DRLa Palma, CA 90623-2505
Mailing Address20 Centerpointe Dr Ste 130La Palma, CA 90623-2562 · (657) 325-8313
Phone(657) 325-8313
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2024
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1487400917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95029861
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.
20 CENTERPOINTE DR, La Palma, CA 90623
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Kieu Phan Msn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315488988
PECOS Enrollment IDI20240923002880
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.

Medicare Billing Reassignment

Medicare enrollment records show Christine Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telecare Corporation
Same address
Mental Health (Including Community Mental Health Center)
20 CENTERPOINTE DR STE 130
La Palma, CA 90623
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
NPI 1114610722 (657) 325-8313

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90623 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

ANDREA CLAREY CADC, BS
Counselor (Addiction (Substance Use Disorder))
20 CENTERPOINTE DR
LA PALMA, CA 90623
Orange County (206) 229-5186

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 Christine Phan's NPI number?

The NPI number for Christine Phan is 1487400917. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Christine Phan located?

Christine Phan practices at 20 Centerpointe Dr, La Palma, CA 90623. The listed phone number is (657) 325-8313.

What is Christine Phan's specialty?

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

Is Christine Phan enrolled in Medicare?

Yes. Christine Phan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christine Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Phan reassigns Medicare benefits to Telecare Corporation (La Palma, CA). The 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 Christine Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christine Phan was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.