1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Nurse Practitioner
  6. NPI Profile

THANH PHAN FNP
NPI 1912858887
Nurse Practitioner - Family in Mesa, AZ

Active since February 06, 2026PECOS Enrolled
1855 N STAPLEY DR, MESA, AZ 85203(480) 834-7546(480) 833-8313 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thanh Phan Fnp NPPES

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

THANH PHAN FNP (NPI 1912858887) is an individual family provider in Mesa, Arizona, licensed in Arizona (221925) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912858887
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHANH PHANCredential: FNP
Location Address1855 N STAPLEY DRMesa, AZ 85203-3002
Mailing Address1630 N 26th StMesa, AZ 85213-3502
Phone(480) 834-7546
Fax(480) 833-8313
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1912858887 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 AZ · 221925
1855 N STAPLEY DR, Mesa, AZ 85203
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thanh Phan Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294203345
PECOS Enrollment IDI20260506003239
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 85203 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

HERITAGE TECHNOLOGIES, LLC
Family Medicine
1855 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 834-7546
IAN ANDREW BATES PA-C
Physician Assistant (Medical)
1855 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 834-7546
DONALD JASON WHITE M.D.
Internal Medicine
1855 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 834-7546

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 Thanh Phan's NPI number?

The NPI number for Thanh Phan is 1912858887. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Thanh Phan located?

Thanh Phan practices at 1855 N Stapley Dr, Mesa, AZ 85203. The listed phone number is (480) 834-7546.

What is Thanh Phan's specialty?

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

Is Thanh Phan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thanh Phan was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.