INDAVONG PHONASA FNP-C
NPI 1912356130
Nurse Practitioner - Family in Odessa, TX

Q: What is Indavong Phonasa's NPI number?

The NPI number for Indavong Phonasa is 1912356130. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Q: What is Indavong Phonasa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Indavong Phonasa was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment

605 E 4TH ST, ODESSA, TX 79761(432) 337-4347 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Indavong Phonasa Fnp-c NPPES

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

INDAVONG PHONASA FNP-C (NPI 1912356130) is an individual family provider in Odessa, Texas, licensed in Texas (AP131078) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Medical City Weatherford, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912356130

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameINDAVONG PHONASACredential: FNP-C

Location Address605 E 4TH STOdessa, TX 79761-5100

Mailing Address605 E 4th StOdessa, TX 79761-5100 · (432) 337-4347

Phone(432) 337-4347

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2016

✔ NPI 1912356130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP131078

605 E 4TH ST, Odessa, TX 79761

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Indavong Phonasa Fnp-c 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 ID5395038095

PECOS Enrollment IDI20160718001921

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450203

Location713 E Anderson StWeatherford, TX 76086 · Parker County

Emergency services Birthing friendly

Palo Pinto General Hospital

Acute Care Hospitals · Mineral Wells, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450565

Location400 Southwest 25 AveMineral Wells, TX 76067 · Palo Pinto County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%78 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$6.53 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers32 claims32 services$107.79 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,170 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers21 claims21 services$23.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAJA NAIDU MD

Internal Medicine (Cardiovascular Disease)

605 E 4TH ST, SUITE 203
ODESSA, TX 79761

Ector County (432) 617-8329

IRENE G TINNEY

Nurse Practitioner

605 E 4TH ST, SUITE 300
ODESSA, TX 79761

Ector County (432) 337-4347

NAIDU CLINIC

Internal Medicine (Cardiovascular Disease)

605 E 4TH ST, SUITE 300
ODESSA, TX 79761

Ector County (432) 337-4347

ADVANCED FERTILITY CENTERS,LLC

Obstetrics & Gynecology (Reproductive Endocrinology)

605 E 4TH ST
ODESSA, TX 79761

Ector County (812) 201-6368

TEXAS CARDIOVASCULAR CONSULTANTS, PA

Internal Medicine (Cardiovascular Disease)

605 E 4TH ST, STE. 200
ODESSA, TX 79761

Ector County (512) 617-6000

JAYARAM NAIDU MD

Internal Medicine

605 E 4TH ST, SUITE 300
ODESSA, TX 79761

Ector County (432) 337-4347

SWARUPA K NAIDU

Psychologist

605 E 4TH ST, SUITE 300
ODESSA, TX 79761

Ector County (432) 337-4347

SARAH WEAVER

Physician Assistant

605 E 4TH ST
ODESSA, TX 79761

Ector County (432) 614-6950

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 Indavong Phonasa's NPI number?

The NPI number for Indavong Phonasa is 1912356130. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Indavong Phonasa located?

Indavong Phonasa practices at 605 E 4th St, Odessa, TX 79761. The listed phone number is (432) 337-4347.

What is Indavong Phonasa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Indavong Phonasa enrolled in Medicare?

Yes. Indavong Phonasa 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.

What insurance does Indavong Phonasa accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Indavong Phonasa 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 Indavong Phonasa affiliated with any hospitals?

According to CMS data, Indavong Phonasa is affiliated with Medical City Weatherford and Palo Pinto General Hospital.

When was this NPI record last updated?

The NPPES record for Indavong Phonasa was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.