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CHRISTOPHER PHAN
NPI 1689403560
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since July 30, 2024
2080 CHILD STREET, ANESTHESIA DEPT, JACKSONVILLE, FL 32214(904) 542-7632 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christopher Phan NPPES

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

CHRISTOPHER PHAN (NPI 1689403560) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (11034333) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1689403560
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCHRISTOPHER PHAN
Location Address2080 CHILD STREET, ANESTHESIA DEPTJacksonville, FL 32214
Mailing Address2080 Child Street, Anesthesia DeptJacksonville, FL 32214 · (904) 542-7632
Phone(904) 542-7632
Sole ProprietorNo
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1689403560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · 11034333
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2080 CHILD STREET, Jacksonville, FL 32214
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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)

Christopher Phan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Christopher Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc
9.5 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

DR. JASMINE MARTIN CPS, CPH, MBA
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-9061
REN-CHANG LIU M.D.
Radiology (Diagnostic Radiology)
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7744
DR. ELISHA YVETTE HANSACK PHARMD
Pharmacist
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-9412
ZACKARY HAMPTON STRANGE
Physical Therapist
2080 CHILD STREET, JACKSONVILLE, FL
FPO, AA 32214
Duval County (904) 542-7300
DR. LYNN MORRISSEY FLOWERS DO
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 546-7113
MS. MARCI MICHELLE MANNA MD
Psychiatry & Neurology (Obesity Medicine)
2080 CHILD STREET
APO, AA 32214
Duval County (904) 542-7300
JESSICA BURHAM DO
Preventive Medicine (Occupational Medicine)
2080 CHILD STREET
JACKSONVILLE, FL 32214
Duval County (904) 542-7113
DR. STEPHEN DEVERE MUNSON TERRANOVA PSY.D.
Psychologist
2080 CHILD STREET, NAS JAX
JACKSONVILLE, FL 32214
Duval County (904) 546-7116

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 Christopher Phan's NPI number?

The NPI number for Christopher Phan is 1689403560. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Christopher Phan located?

Christopher Phan practices at 2080 Child Street Anesthesia Dept, Jacksonville, FL 32214. The listed phone number is (904) 542-7632.

What is Christopher Phan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Christopher Phan enrolled in Medicare?

Yes. Christopher Phan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christopher Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Phan reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). 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 Christopher 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 Christopher Phan was last updated on July 30, 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.