DR. JENNIFER LISA HANSON PHAM MD
NPI 1710129333
Family Medicine in Everett, WA

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
2930 MAPLE ST, EVERETT, WA 98201(425) 261-1500 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jennifer Lisa Hanson Pham Md NPPES

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

DR. JENNIFER LISA HANSON PHAM MD (NPI 1710129333) is an individual family medicine provider in Everett, Washington, licensed in Wisconsin (55320-020) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2009).

NPPES Registry Identity

NPI1710129333
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENNIFER LISA HANSON PHAMCredential: MD
Location Address2930 MAPLE STEverett, WA 98201-3832
Mailing Address2930 Maple StEverett, WA 98201-3832 · (425) 261-1500
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateApril 13, 2021
NPPES CertifiedApril 13, 2021
NPI 1710129333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 55320-020
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2930 MAPLE ST, Everett, WA 98201

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

Dr. Jennifer Lisa Hanson Pham Md 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 ID4880859693
PECOS Enrollment IDI20131204002064
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 98201 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
2930 MAPLE ST
EVERETT, WA 98201
Licensed Practical Nurse
2930 MAPLE ST
EVERETT, WA 98201
Registered Nurse
2930 MAPLE ST
EVERETT, WA 98201
Physician Assistant (Medical)
2930 MAPLE ST
EVERETT, WA 98201
Registered Nurse
2930 MAPLE ST
EVERETT, WA 98201
Family Medicine
2930 MAPLE ST
EVERETT, WA 98201
Family Medicine
2930 MAPLE ST
EVERETT, WA 98201
Licensed Practical Nurse
2930 MAPLE ST
EVERETT, WA 98201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710129333, enumerated as an "individual" on March 27, 2009.

The provider is located at 2930 MAPLE ST EVERETT, WA 98201 and the phone number is (425) 261-1500.

Family Medicine with taxonomy code 207Q00000X.