MISS HACHAU C PHAN AGACNP-BC
NPI 1811477557
Nurse Practitioner - Gerontology in Portland, OR
About Miss Hachau C Phan Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS HACHAU C PHAN AGACNP-BC (NPI 1811477557) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (10045348) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Miss Hachau C Phan Agacnp-bc 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 Reassignments
2Medicare enrollment records show Hachau Phan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas enrollment
- 3,167 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97225 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
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 Hachau Phan's NPI number?
The NPI number for Hachau Phan is 1811477557. It was assigned to this individual provider in the NPPES registry on August 21, 2018.
Where is Hachau Phan located?
Hachau Phan practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-2906.
What is Hachau Phan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Hachau Phan enrolled in Medicare?
Yes. Hachau 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.
Which organizations bill Medicare for Hachau Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hachau Phan reassigns Medicare benefits to 2 organizations: Providence Health & Services Oregon (Portland, OR) and Healthtexas Provider Network (Fort Worth, TX). Each 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 Hachau Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hachau Phan accept?
Health plans from Blue Cross and Blue Shield of Texas list Hachau Phan 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.
Is Hachau Phan affiliated with any hospitals?
According to CMS data, Hachau Phan is affiliated with Providence St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Hachau Phan was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Miss Hachau C Phan, AGACNP-BC · NPI 1811477557
Gerontology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 21, 2018.
## Identity
- **NPI:** 1811477557 (Entity type: Individual)
- **Enumerated:** August 21, 2018
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 10045348 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9205 SW BARNES RD, Portland, OR 97225-6603
- **Phone:** (503) 216-2906
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Oregon (NPI 1053403394, Portland, OR); Healthtexas Provider Network (NPI 1992429161, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811477557) · Data from the CMS NPPES public registry.