SANDY PHAN
NPI 1497696504
Nurse Practitioner - Acute Care in Philadelphia, PA
About Sandy Phan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDY PHAN (NPI 1497696504) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP034751) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandy Phan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandy Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1871981985 (Pennsylvania)
- 752 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.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Sandy Phan's NPI number?
The NPI number for Sandy Phan is 1497696504. It was assigned to this individual provider in the NPPES registry on April 2, 2026.
Where is Sandy Phan located?
Sandy Phan practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (267) 230-6443.
What is Sandy Phan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Sandy Phan enrolled in Medicare?
Yes. Sandy Phan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandy Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Phan reassigns Medicare benefits to University Of Penn - Medical Group (Philadelphia, PA). 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 Sandy Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sandy Phan affiliated with any hospitals?
According to CMS data, Sandy Phan is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Sandy Phan was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Sandy Phan · NPI 1497696504
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 2, 2026.
## Identity
- **NPI:** 1497696504 (Entity type: Individual)
- **Enumerated:** April 2, 2026
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP034751 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (267) 230-6443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn - Medical Group (NPI 1053447151, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497696504) · Data from the CMS NPPES public registry.