TRACY PHAN NP
NPI 1972137446
Nurse Practitioner - Family in San Jose, CA
About Tracy Phan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY PHAN NP (NPI 1972137446) is an individual family provider in San Jose, California, licensed in California (NP95013765) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tracy Phan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tracy Phan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95116
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Tracy Phan's NPI number?
The NPI number for Tracy Phan is 1972137446. It was assigned to this individual provider in the NPPES registry on February 24, 2020.
Where is Tracy Phan located?
Tracy Phan practices at 969 Story Rd Unit 6060A, San Jose, CA 95122. The listed phone number is (408) 223-8818.
What is Tracy Phan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tracy Phan enrolled in Medicare?
Yes. Tracy Phan 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.
Which organizations bill Medicare for Tracy Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Phan reassigns Medicare benefits to 2 organizations: One Health Medical Foundation (San Jose, CA) and Carbon Health Medical Group Of California PC (Berkeley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracy Phan was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tracy Phan, NP · NPI 1972137446
Family physician in San Jose, California. Individual provider, active in the CMS NPPES registry since February 24, 2020.
## Identity
- **NPI:** 1972137446 (Entity type: Individual)
- **Enumerated:** February 24, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95013765 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 969 STORY RD UNIT 6060A, San Jose, CA 95122-4601
- **Phone:** (408) 223-8818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): One Health Medical Foundation (NPI 1093310583, San Jose, CA); Carbon Health Medical Group Of California PC (NPI 1417294232, Berkeley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1972137446) · Data from the CMS NPPES public registry.