MS. LYSIANNE PHAM DUBE (FNP-C) – Primary Care Nurse Practitioner, NPI 1699263269
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
Loading map...
Provider Addresses for MS. LYSIANNE PHAM DUBE (FNP-C)
PO BOX 232410
SAN DIEGO, CA 921932410
Phone:
Type: Mailing
UC San Diego Medical Center, 200, West Arbor Drive, Hillcrest, San Diego, San Diego County, California, 92103, United States
SAN DIEGO, CA 921039000
Phone: (800) 926-8273
Type: Location
2201 HERITAGE PKWY STE 111
MANSFIELD, TX 760635628
Phone: (817) 472-7700
Type: Location
1305 BLANCO TRL
MANSFIELD, TX 760631856
Phone: (858) 225-9525
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220519001359 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 120 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 43 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 28 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 21 | 19 | $0 |
Insurance plans in this area (ZIP 92193)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.