PHUONG JULIA BANH FNP-C
NPI 1942685128
Nurse Practitioner - Family in Garland, TX

Active since July 29, 2015PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
3465 W WALNUT ST, GARLAND, TX 75042(972) 272-7816 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phuong Julia Banh Fnp-c NPPES

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

PHUONG JULIA BANH FNP-C (NPI 1942685128) is an individual family provider in Garland, Texas, licensed in Texas (AP128559) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942685128
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHUONG JULIA BANHCredential: FNP-C
Location Address3465 W WALNUT STGarland, TX 75042-7153
Mailing Address119 Sweetgum DrMurphy, TX 75094-3442 · (214) 909-5670
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 29, 2015
NPI 1942685128 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 · AP128559
3465 W WALNUT ST, Garland, TX 75042

Other Names 1

Professional Name (2)Mrs. Julia Hoang Phuong Banh

Accepted 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

Phuong Julia Banh 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 ID547566689
PECOS Enrollment IDI20160315002585
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services112 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
3465 W WALNUT ST, #225
GARLAND, TX 75042
Clinic/Center (Primary Care)
3465 W WALNUT ST, SUITE 225
GARLAND, TX 75042
Physician Assistant
3465 W WALNUT ST, 225
GARLAND, TX 75042
Dentist (General Practice)
3465 W WALNUT ST, SUITE #209
GARLAND, TX 75042
Family Medicine
3465 W WALNUT ST, SUITE 211B
GARLAND, TX 75042

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 Phuong Julia Banh's NPI number?

The NPI number for Phuong Julia Banh is 1942685128. It was assigned to this individual provider in the NPPES registry on July 29, 2015. The provider is also known as Mrs. Julia Hoang Phuong Banh.

Where is Phuong Julia Banh located?

Phuong Julia Banh practices at 3465 W Walnut St, Garland, TX 75042. The listed phone number is (972) 272-7816.

What is Phuong Julia Banh's specialty?

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

Is Phuong Julia Banh enrolled in Medicare?

Yes. Phuong Julia Banh 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 Phuong Julia Banh accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Phuong Julia Banh 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 Phuong Julia Banh affiliated with any hospitals?

According to CMS data, Phuong Julia Banh is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Phuong Julia Banh was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.