MR. MANH DUC PHAM ARNP
NPI 1518447473
Nurse Practitioner - Family in Seattle, WA

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment
531 QUEEN ANNE AVE N, SEATTLE, WA 98109(206) 284-7286 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2021, Nov 22, 2019, Aug 20, 2018 (3 updates tracked since 2018).

About Mr. Manh Duc Pham Arnp NPPES

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

MR. MANH DUC PHAM ARNP (NPI 1518447473) is an individual family provider in Seattle, Washington, licensed in Washington (AP60868256) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1518447473
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MANH DUC PHAMCredential: ARNP
Location Address531 QUEEN ANNE AVE NSeattle, WA 98109-4521
Mailing Address531 Queen Anne Ave NSeattle, WA 98109-4521 · (206) 284-7286
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 20, 2018
Last NPPES UpdateOctober 8, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1518447473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60868256
531 QUEEN ANNE AVE N, Seattle, WA 98109

Accepted Insurance

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

Mr. Manh Duc Pham Arnp 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.

PECOS PAC ID8820334477
PECOS Enrollment IDI20190118000196
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 Reassignments

7

Medicare enrollment records show Manh Pham reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
11120 NE 33RD PL STE 202
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 28 clinicians in this Medicare group
Geriatric Medicine
7024 EVERGREEN WAY STE A
Everett, WA 98203
  • Reassigned Medicare billing, Washington enrollment
  • 166 clinicians in this Medicare group
Emergency Medicine
949 MARKET ST STE 602
Tacoma, WA 98402
  • Reassigned Medicare billing, Washington enrollment
  • 120 clinicians in this Medicare group
Addiction Medicine
3640 S CEDAR ST STE M
Tacoma, WA 98409
  • Reassigned Medicare billing, Washington enrollment
  • 18 clinicians in this Medicare group
Geriatric Medicine
3640 S CEDAR ST STE O
Tacoma, WA 98409
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group
Physical Medicine & Rehabilitation
2750 N DIGITAL DR
Lehi, UT 84043
  • Reassigned Medicare billing, Washington enrollment
  • 27 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Washington enrollment
  • 239 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,228 services296 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
529 services168 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
242 services241 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
108 services29 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
38 services16 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 20

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

Nurse Practitioner (Family)
531 QUEEN ANNE AVE N
SEATTLE, WA 98109
Pharmacist
531 QUEEN ANNE AVE N
SEATTLE, WA 98109
Nurse Practitioner (Family)
531 QUEEN ANNE AVE N
SEATTLE, WA 98109
Nurse Practitioner (Family)
531 QUEEN ANNE AVE N
SEATTLE, WA 98109
Pharmacist
531 QUEEN ANNE AVE N
SEATTLE, WA 98109
Nurse Practitioner (Family)
531 QUEEN ANNE AVE N
SEATTLE, WA 98109
Nurse Practitioner (Family)
531 QUEEN ANNE AVE N
SEATTLE, WA 98109
Pharmacist
531 QUEEN ANNE AVE N
SEATTLE, WA 98109

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 Manh Pham's NPI number?

The NPI number for Manh Pham is 1518447473. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Manh Pham located?

Manh Pham practices at 531 Queen Anne Ave N, Seattle, WA 98109. The listed phone number is (206) 284-7286.

What is Manh Pham's specialty?

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

Is Manh Pham enrolled in Medicare?

Yes. Manh Pham 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 Manh Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manh Pham reassigns Medicare benefits to 7 organizations: Daiya Healthcare PLLC (Bellevue, WA), Altea Medical Washington PLLC (Everett, WA), Dispatchhealth Washington PC (Tacoma, WA), Sound Integrated Health LLC (Tacoma, WA), Vm Provision Care LLC (Tacoma, WA) and 2 more organizations, listed in the Medicare section above. 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 Manh Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manh Pham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Manh Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manh Pham was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.