MY PHUONG THI PHAN NP
NPI 1659878882
Nurse Practitioner - Family in Orange, CA

Active since April 13, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 THE CITY DR S BLDG 25, ORANGE, CA 92868(714) 719-1136(714) 456-2890 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2019, Apr 13, 2018 (2 updates tracked since 2018).

About My Phuong Thi Phan Np NPPES

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

MY PHUONG THI PHAN NP (NPI 1659878882) is an individual family provider in Orange, California, licensed in California (95008855) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659878882
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMY PHUONG THI PHANCredential: NP
Location Address101 THE CITY DR S BLDG 25Orange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Fax(714) 456-2890
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 13, 2018
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1659878882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95008855
Also ListedRegistered NurseTaxonomy 163W00000X · License 785271 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95008855 (CA)
101 THE CITY DR S BLDG 25, Orange, CA 92868

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

My Phuong Thi Phan 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 ID8729328745
PECOS Enrollment IDI20190328001704
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

3

Medicare enrollment records show My Phuong Phan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
800 N MAIN ST
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
Specialist
150 PAULARINO AVE STE D182
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 38 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
3 suppliers16 claims16 services$36.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Health and Wellness Coach
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Health and Wellness Coach
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Nurse Practitioner
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Internal Medicine (Geriatric Medicine)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868

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 My Phuong Phan's NPI number?

The NPI number for My Phuong Phan is 1659878882. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is My Phuong Phan located?

My Phuong Phan practices at 101 The City Dr S Bldg 25, Orange, CA 92868. The listed phone number is (714) 719-1136.

What is My Phuong Phan's specialty?

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

Is My Phuong Phan enrolled in Medicare?

Yes. My Phuong Phan 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 My Phuong Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), My Phuong Phan reassigns Medicare benefits to 3 organizations: Regents Of The University Of (Orange, CA), University Of California Irvine (Santa Ana, CA) and Global Transitional Care, LLC (Costa Mesa, CA). 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 My Phuong Phan'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 My Phuong Phan was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.