MIMI HOANG PHAN (FNP) – Family Nurse Practitioner, NPI 1083178099

Family Nurse Practitioner

MIMI HOANG PHAN (FNP) is a healthcare provider. based in Falls church, Virginia. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 0024176132 (VA). The NPI Number for MIMI HOANG PHAN (FNP) is 1083178099

Main info

Female

Sole Proprietor

18 Years Of Experience

Accepts Medicare Assignment

Name

MIMI HOANG PHAN (FNP)

NPI

1083178099

Phone

(703) 532-5436

Address

400 S MAPLE AVE STE 200

Enumeration Date

23 January 2019

Last Update Date

12 June 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7037174000

Graduation Year

2008 (18 years ago)

PAC ID

8628311727

Group Practice PAC ID

8426231119

Professional Enrollment ID

I20190513000783

Contacts

Secure Messaging

mphan63965@direct.virginiahospitalcenter.net

Main Contact

missmphan@gmail.com

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness95

Years active:7State licenses:1Other names

Provider Addresses for MIMI HOANG PHAN (FNP)

400 S MAPLE AVE STE 200
FALLS CHURCH, VA 220464243
Phone: (703) 532-5436
Fax: (703) 532-3232
Type: Location
2400 HURST STREET
ADDRESS LINE 2
FALLS CHURCH, VA 22043
Phone: (404) 285-9660
Type: Mailing
Inova Healthplex, 6355, Walker Lane, Windsor Estates, Kingstowne, Alexandria, Fairfax County, Virginia, 22306, United States
505
ALEXANDRIA, VA 223103251
Phone: (703) 971-4444
Type: Location
250 OAK STREET
ROSWELL, GA 30075
Phone: (770) 817-6070
Fax: (770) 643-1858
Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22046)

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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: 8426231119View full group profile

Name	Specialty	State
DR. JOHN R GARRETT (M.D.)	-	VA
SALIATOU MAIKARFI JORDAN (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	MD
MS. ANDREA ELLEN WILLIAMS (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	VA
MS. KIM DENISE MOSES (FNP)	Nurse Practitioner	VA
ASHLEY HARRISON (FNP-C)	-	DC
MICHELLE XIYING ZUCHERMAN (DO)	Internal Medicine	VA
HONG HANH LE NGUYEN (D.O.)	Internal Medicine	VA
JESSICA LEIGH HARDESTY (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	MA
JAMES ALAN RAMENOFSKY (M.D.)	-	VA
MR. OMAIR KHWAJA YOUSUF (M.D.)	Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)	MO