MISS HACHAU C PHAN AGACNP-BC
NPI 1811477557
Nurse Practitioner - Gerontology in Portland, OR

Q: 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.

Q: What is Hachau Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: 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 7 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.

Active since August 21, 2018PECOS EnrolledAccepts Medicare Assignment

9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-2906 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Mar 31, 2023, Aug 21, 2018 (3 updates tracked since 2018).

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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

NPI1811477557

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMISS HACHAU C PHANCredential: AGACNP-BC

Location Address9205 SW BARNES RDPortland, OR 97225-6603

Mailing Address9205 Sw Barnes RdPortland, OR 97225-6603

Phone(503) 216-2906

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 21, 2018

Last NPPES UpdateDecember 30, 20253 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1811477557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OR · 10045348

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 10045348 (OR), AP136895 (TX)

9205 SW BARNES RD, Portland, OR 97225

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

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.

PECOS PAC ID2062806060

PECOS Enrollment IDI20251210003837

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

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, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Physician 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.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

DR. VICTOR NGUYEN PHAM M.D.

Hospitalist