DEANNA PHAN (CNP) – Adult Health Nurse Practitioner, NPI 1215620430
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for DEANNA PHAN (CNP)
21381 HYTRAIL CIR
LAKEVILLE, MN 550446035
Phone: (952) 239-4568
Type: Mailing
3400 W 66TH ST STE 150
EDINA, MN 554352109
Phone: (952) 920-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $437.
Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($119).
Total Amount
$437
General + Research + Ownership
Payments
18
Total payment records
General Amount
$437
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $119 |
| Amneal Pharmaceuticals LLC | $52 |
| Neurelis, Inc. | $48 |
| PFIZER INC. | $42 |
| ABBVIE INC. | $37 |
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: 2023-07-13
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 |
|---|---|---|---|---|
| I20230713002352 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 59 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 28 | 26 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 55044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MN | |
| N E U R O L O G Y | MN | |
| - | MN | |
| Clinical Psychologist | IN | |
| Physician Assistant | MN | |
| - | MN | |
| N E U R O L O G Y | MN | |
| Physician Assistant | MN | |
| N E U R O L O G Y | MN | |
| N E U R O L O G Y | MN |
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