THIEN-HUONG THERESA VAN (PA) – Physician Assistant, NPI 1164072286

THIEN-HUONG THERESA VAN (PA) is a healthcare provider. based in Roseburg, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA202904 (OR). The NPI Number for THIEN-HUONG THERESA VAN (PA) is 1164072286

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
THIEN-HUONG THERESA VAN (PA)
NPI
1164072286
Phone
(541) 229-7038
Address
3031 NE STEPHENS ST
Enumeration Date
19 September 2019
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2020 (6 years ago)
PAC ID
8022426444
Group Practice PAC ID
1254768732
Professional Enrollment ID
I20210422002355
Address ID
OR972173211PO4340XAVEX400
Telehealth
Yes

Contacts

Main Contact
Roseburg
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for THIEN-HUONG THERESA VAN (PA)

  • 3031 NE STEPHENS ST

    ROSEBURG, OR 974706237

    Phone: (541) 229-7038

    Fax: (541) 464-4474

    Type: Mailing

  • 7700 W GLASGOW PL APT 11A

    LITTLETON, CO 801284803

    Phone: (972) 302-2716

    Type: Mailing

  • Kaiser Sunnyside Medical Center, 10180, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970158970

    Phone: (503) 813-2000

    Type: Location

  • 3031 NE Stephens St

    Roseburg, OR 974706237

    Phone: (541) 229-7038

    Fax: (541) 464-4474

    Type: Location

  • 4816 NW BETHANY BLVD

    PORTLAND, OR 972299254

    Phone: (888) 227-3312

    Fax: (971) 282-0100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210422002355IPhysician AssistantORTBD
I20240311001033IPhysician AssistantWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4946$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
81003Automated urinalysis test2121$0
View full utilization report →

Insurance plans in this area (ZIP 97470)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254768732View full group profile

Reviews

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Frequently asked questions

What NPI should I save for THIEN-HUONG THERESA VAN (PA)?
Save NPI 1164072286 if you need a stable reference for THIEN-HUONG THERESA VAN (PA).
Is THIEN-HUONG THERESA VAN (PA)'s NPI currently valid?
The extract we use shows THIEN-HUONG THERESA VAN (PA) as active.
What does THIEN-HUONG THERESA VAN (PA) treat or focus on?
Patients typically see THIEN-HUONG THERESA VAN (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is THIEN-HUONG THERESA VAN (PA)'s primary listing?
We display Roseburg, Oregon because that is what the record indicates for THIEN-HUONG THERESA VAN (PA).
How can I contact THIEN-HUONG THERESA VAN (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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