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

Q: 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.

Q: What is Charmiqua Pham's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

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.

Medicare Billing Reassignment

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

Planned Parenthood Minnesota, North Dakota, South Dakota

Same address

Family Planning, Non-Surgical

671 VANDALIA STREET
Saint Paul, MN 55114

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Planned Parenthood Mn, Nd, Sd
102 clinicians in this Medicare group

NPI 1629057146 (651) 698-2401

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 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.

LESLIE EWENS APRN, CNP

Nurse Practitioner (Women's Health)