Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHESHANNA NGUYEN PHUONG KHANH PHAN DO
NPI 1750086955
Dermatology in Albuquerque, NM

Active since April 05, 2023PECOS Enrolled
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661(505) 272-0475 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Dec 7, 2024, Apr 5, 2023 (3 updates tracked since 2023).

About Sheshanna Nguyen Phuong Khanh Phan Do NPPES

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

SHESHANNA NGUYEN PHUONG KHANH PHAN DO (NPI 1750086955) is an individual dermatology provider in Albuquerque, New Mexico, licensed in New Mexico (DO2026-0085) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2023).

NPPES Registry Identity

NPI1750086955
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHESHANNA NGUYEN PHUONG KHANH PHANCredential: DO
Location AddressMSC10 5550 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc07 4240 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4661 · Fax (505) 272-0475
Fax(505) 272-0475
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2023
Enumeration DateApril 5, 2023
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1750086955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NM · DO2026-0085
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RS2023-1046 (NM)
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sheshanna Nguyen Phuong Khanh Phan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103269923
PECOS Enrollment IDI20260527001866
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 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, PALLIATIVE CARE DEPARTMENT
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Sheshanna Phan's NPI number?

The NPI number for Sheshanna Phan is 1750086955. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Sheshanna Phan located?

Sheshanna Phan practices at Msc10 5550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Sheshanna Phan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sheshanna Phan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sheshanna Phan was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.