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NANCY PHAM NP
NPI 1962922088
Nurse Practitioner - Family in Salt Lake City, UT

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
1140 E 3900 S STE 340, SALT LAKE CITY, UT 84124(801) 268-7479(801) 268-7622 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Jun 7, 2024, Nov 22, 2022 and 3 more (6 updates tracked since 2017).

About Nancy Pham Np NPPES

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

NANCY PHAM NP (NPI 1962922088) is an individual family provider in Salt Lake City, Utah, licensed in Utah (12494827-4405) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1962922088
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNANCY PHAMCredential: NP
Location Address1140 E 3900 S STE 340Salt Lake City, UT 84124-1244
Mailing AddressPo Box 742382Atlanta, GA 30374-2382
Phone(801) 268-7479
Fax(801) 268-7622
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateAugust 12, 20246 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1962922088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in UT · 12494827-4405✔ Licensed in CA · 95007201✔ Licensed in OR · 202211106NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 95129038 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 12494827-4405 (UT)
1140 E 3900 S STE 340, Salt Lake City, UT 84124
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 W 900 S # 4624Salt Lake City, UT 84101-2905 · Phone (801) 835-3749 · Fax (510) 986-6896

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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

Nancy Pham Np 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 ID6608141130
PECOS Enrollment IDI20240614001758
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 2

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.
58 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims38 services$3.79 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

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

KATIE STOKES FNP
Nurse Practitioner
1140 E 3900 S STE 340
SLC, UT 84124
Salt Lake County (801) 268-7479

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 Nancy Pham's NPI number?

The NPI number for Nancy Pham is 1962922088. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Nancy Pham located?

Nancy Pham practices at 1140 E 3900 S Ste 340, Salt Lake City, UT 84124. The listed phone number is (801) 268-7479.

What is Nancy Pham's specialty?

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

Is Nancy Pham enrolled in Medicare?

Yes. Nancy Pham 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 Nancy Pham accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Nancy Pham 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 Nancy Pham affiliated with any hospitals?

According to CMS data, Nancy Pham is affiliated with Intermountain Health Alta View Hospital, St Mark's Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Pham was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.