JAY PHAN
NPI 1669299152
Nurse Practitioner - Family in Twin Falls, ID
About Jay Phan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY PHAN (NPI 1669299152) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (3561779) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with North Canyon Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Jay Phan 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Canyon Medical Center
Critical Access Hospitals · Gooding, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TWIN FALLS, ID 83301
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 Jay Phan's NPI number?
The NPI number for Jay Phan is 1669299152. It was assigned to this individual provider in the NPPES registry on September 25, 2024.
Where is Jay Phan located?
Jay Phan practices at 419 Shoup Ave W, Twin Falls, ID 83301. The listed phone number is (209) 996-1700.
What is Jay Phan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jay Phan enrolled in Medicare?
Yes. Jay 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.
What insurance does Jay Phan accept?
Health plans from Providence Health Plan list Jay Phan 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.
Is Jay Phan affiliated with any hospitals?
According to CMS data, Jay Phan is affiliated with North Canyon Medical Center.
When was this NPI record last updated?
The NPPES record for Jay Phan was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Jay Phan · NPI 1669299152
Family physician in Twin Falls, Idaho. Individual provider, active in the CMS NPPES registry since September 25, 2024.
## Identity
- **NPI:** 1669299152 (Entity type: Individual)
- **Enumerated:** September 25, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3561779 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 419 SHOUP AVE W, Twin Falls, ID 83301-5028
- **Phone:** (209) 996-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669299152) · Data from the CMS NPPES public registry.