MS. LYSIANNE PHAM DUBE FNP-C
NPI 1699263269
Nurse Practitioner - Primary Care in Mansfield, TX
About Ms. Lysianne Pham Dube Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LYSIANNE PHAM DUBE FNP-C (NPI 1699263269) is an individual primary care provider in Mansfield, Texas, licensed in California (95008968) 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
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Ms. Lysianne Pham Dube Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Lysianne Dube reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 3 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 76063 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lysianne Dube's NPI number?
The NPI number for Lysianne Dube is 1699263269. It was assigned to this individual provider in the NPPES registry on April 28, 2018. The provider is also known as Ms. Mary-Lysianne Van Pham.
Where is Lysianne Dube located?
Lysianne Dube practices at 2201 Heritage Pkwy Ste 111, Mansfield, TX 76063. The listed phone number is (817) 472-7700.
What is Lysianne Dube's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lysianne Dube enrolled in Medicare?
Yes. Lysianne Dube 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 organization bills Medicare for Lysianne Dube's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lysianne Dube reassigns Medicare benefits to Get Wellness, PLLC (Mansfield, TX). 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 Lysianne Dube's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lysianne Dube accept?
Health plans from Blue Cross and Blue Shield of Texas list Lysianne Dube 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 Lysianne Dube was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Lysianne Pham Dube, FNP-C · NPI 1699263269
Primary Care physician in Mansfield, Texas. Individual provider, active in the CMS NPPES registry since April 28, 2018.
## Identity
- **NPI:** 1699263269 (Entity type: Individual)
- **Enumerated:** April 28, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95008968 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 HERITAGE PKWY STE 111, Mansfield, TX 76063-5628
- **Phone:** (817) 472-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Get Wellness, PLLC (NPI 1972214641, Mansfield, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699263269) · Data from the CMS NPPES public registry.