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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MYA THEDA KYI FNP
NPI 1619754025
Nurse Practitioner in Phoenix, AZ

Active since September 11, 2023PECOS Enrolled
6036 N 19TH AVE STE 202, PHOENIX, AZ 85015(480) 863-6328(480) 805-8818 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2026, Nov 21, 2023, Oct 23, 2023 (3 updates tracked since 2023).

About Mya Theda Kyi Fnp NPPES

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

MYA THEDA KYI FNP (NPI 1619754025) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (341609) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619754025
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMYA THEDA KYICredential: FNP
Location Address6036 N 19TH AVE STE 202Phoenix, AZ 85015-2104
Mailing Address6036 N 19th Ave Ste 202Phoenix, AZ 85015-2104 · (480) 863-6328 · Fax (480) 805-8818
Phone(480) 863-6328
Fax(480) 805-8818
Sole ProprietorNo
Enumeration DateSeptember 11, 2023
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1619754025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 341609
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95023819 (CA)
6036 N 19TH AVE STE 202, Phoenix, AZ 85015
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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)

Mya Theda Kyi Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mya Kyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Maestra Family Clinic, Inc.
285 mi
Federally Qualified Health Center (FQHC)
1246 E MAIN ST
El Cajon, CA 92021
  • Reassigned Medicare billing, California enrollment
  • 102 clinicians in this Medicare group
NPI 1568209773 (619) 584-1612

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 85015 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

CAREPOINT FAMILY CLINIC LLC
Family Medicine
6036 N 19TH AVE STE 202
PHOENIX, AZ 85015
Maricopa County (480) 863-6328

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 Mya Kyi's NPI number?

The NPI number for Mya Kyi is 1619754025. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Mya Kyi located?

Mya Kyi practices at 6036 N 19th Ave Ste 202, Phoenix, AZ 85015. The listed phone number is (480) 863-6328.

What is Mya Kyi's specialty?

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

Is Mya Kyi enrolled in Medicare?

Yes. Mya Kyi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mya Kyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mya Kyi reassigns Medicare benefits to La Maestra Family Clinic, Inc. (El Cajon, 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 Mya Kyi'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 Mya Kyi was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.