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

Q: What is Jennifer Hanson Pham's NPI number?

The NPI number for Jennifer Hanson Pham is 1710129333. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Q: What is Jennifer Hanson Pham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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: October 18, 2026.

On this page

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

Phone(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

Open in Google Maps ↗

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Hanson Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington

Same address

Multi-Specialty

2930 MAPLE ST
Everett, WA 98201

Reassigned Medicare billing, Washington enrollment
2,678 clinicians in this Medicare group

NPI 1386935351 (425) 261-1500

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 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.

DAVID E. HARRIS O.D.

Optometrist