NGOC-THU THI PHUNG NP
NPI 1649895020
Nurse Practitioner - Family in Broken Arrow, OK

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
4300 W HOUSTON ST, BROKEN ARROW, OK 74012(918) 254-5000 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2020, Jun 11, 2020 (2 updates tracked since 2020).

About Ngoc-thu Thi Phung Np NPPES

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

NGOC-THU THI PHUNG NP (NPI 1649895020) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (R0103714) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649895020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNGOC-THU THI PHUNGCredential: NP
Location Address4300 W HOUSTON STBroken Arrow, OK 74012-4519
Mailing Address5132 N Elston AveChicago, IL 60630-2429 · (847) 235-6130 · Fax (847) 235-6135
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 11, 2020
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1649895020 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 OK · R0103714
4300 W HOUSTON ST, Broken Arrow, OK 74012

Secondary Practice Location 1

Location 12154 S 85th East AveTulsa, OK 74129-3012 · Phone (918) 622-4747

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

Ngoc-thu Thi Phung Np 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 ID9638592934
PECOS Enrollment IDI20200706000040
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 74012 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Physical Therapist
4300 W HOUSTON ST
BROKEN ARROW, OK 74012
Occupational Therapy Assistant
4300 W HOUSTON ST
BROKEN ARROW, OK 74012
Speech-Language Pathologist
4300 W HOUSTON ST
BROKEN ARROW, OK 74012
Physical Therapy Assistant
4300 W HOUSTON ST
BROKEN ARROW, OK 74012
Skilled Nursing Facility
4300 W HOUSTON ST
BROKEN ARROW, OK 74012
Speech-Language Pathologist
4300 W HOUSTON ST
BROKEN ARROW, OK 74012
Occupational Therapy Assistant
4300 W HOUSTON ST
BROKEN ARROW, OK 74012
Speech-Language Pathologist
4300 W HOUSTON ST
BROKEN ARROW, OK 74012

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 Ngoc-thu Phung's NPI number?

The NPI number for Ngoc-thu Phung is 1649895020. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Ngoc-thu Phung located?

Ngoc-thu Phung practices at 4300 W Houston St, Broken Arrow, OK 74012. The listed phone number is (918) 254-5000.

What is Ngoc-thu Phung's specialty?

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

Is Ngoc-thu Phung enrolled in Medicare?

Yes. Ngoc-thu Phung 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 Ngoc-thu Phung accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Oscar Insurance Company list Ngoc-thu Phung 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 Ngoc-thu Phung was last updated on June 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.