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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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 7

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

Physician Assistant
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Internal Medicine (Geriatric Medicine)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Nurse Practitioner
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
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
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659878882, enumerated as an "individual" on April 13, 2018.

The provider is located at 101 THE CITY DR S BLDG 25 ORANGE, CA 92868 and the phone number is (714) 719-1136.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.