CHARMIQUA AUDRELLE PHAM
NPI 1518569805
Nurse Practitioner in Saint Paul, MN

Active since November 11, 2020PECOS EnrolledAccepts Medicare Assignment
671 VANDALIA ST, SAINT PAUL, MN 55114(651) 698-2406 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2022, Nov 11, 2020 (2 updates tracked since 2020).

About Charmiqua Audrelle Pham NPPES

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

CHARMIQUA AUDRELLE PHAM (NPI 1518569805) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (6608) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1518569805
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARMIQUA AUDRELLE PHAM
Location Address671 VANDALIA STSaint Paul, MN 55114-1312
Mailing Address671 Vandalia StSaint Paul, MN 55114-1312 · (651) 698-2406
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 11, 2020
Last NPPES UpdateApril 28, 20222 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
NPI 1518569805 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 MN · 6608
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.
671 VANDALIA ST, Saint Paul, MN 55114

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charmiqua Audrelle Pham 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 ID1951710185
PECOS Enrollment IDI20210429001242
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 55114 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114
Physician Assistant
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Family)
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Family)
671 VANDALIA ST
SAINT PAUL, MN 55114
Advanced Practice Midwife
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114

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 Charmiqua Pham's NPI number?

The NPI number for Charmiqua Pham is 1518569805. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Charmiqua Pham located?

Charmiqua Pham practices at 671 Vandalia St, Saint Paul, MN 55114. The listed phone number is (651) 698-2406.

What is Charmiqua Pham's specialty?

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

Is Charmiqua Pham enrolled in Medicare?

Yes. Charmiqua 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.

What insurance does Charmiqua Pham accept?

Health plans from Medica and Sanford Health Plan list Charmiqua 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 Charmiqua Pham was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.