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RICKY NGUYEN PHAN ACNP
NPI 1740700350
Nurse Practitioner - Acute Care in Garden Grove, CA

Active since June 24, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
13591 BOWEN ST, GARDEN GROVE, CA 92843(714) 261-7813(714) 261-7813 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2017, Jun 24, 2017 (2 updates tracked since 2017).

About Ricky Nguyen Phan Acnp NPPES

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

RICKY NGUYEN PHAN ACNP (NPI 1740700350) is an individual acute care provider in Garden Grove, California, licensed in California (95006779) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740700350
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameRICKY NGUYEN PHANCredential: ACNP
Location Address13591 BOWEN STGarden Grove, CA 92843-3223
Mailing Address13591 Bowen StGarden Grove, CA 92843-3223 · (714) 261-7813
Phone(714) 261-7813
Fax(714) 261-7813
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2017
Last NPPES UpdateNovember 29, 20172 updates tracked since enumeration
✔ NPI 1740700350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95006779
13591 BOWEN ST, Garden Grove, CA 92843
Open in Google Maps ↗

Other Names 1

Former Name (1)Nguyen Hong Phan

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

Ricky Nguyen Phan Acnp 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 ID6901163518
PECOS Enrollment IDI20171206000975
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
377 services233 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services42 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
22 services21 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92843 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Ricky Phan's NPI number?

The NPI number for Ricky Phan is 1740700350. It was assigned to this individual provider in the NPPES registry on June 24, 2017. The provider is also known as Nguyen Hong Phan.

Where is Ricky Phan located?

Ricky Phan practices at 13591 Bowen St, Garden Grove, CA 92843. The listed phone number is (714) 261-7813.

What is Ricky Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ricky Phan enrolled in Medicare?

Yes. Ricky 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.

When was this NPI record last updated?

The NPPES record for Ricky Phan was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.