Annie Phan
NPI 1003617184 · Nurse Practitioner · Lillington, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Annie Phan is a Nurse Practitioner provider in Lillington, NC (NPI 1003617184).
Provider details
- NPI number
- 1003617184
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5021862 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Frequently asked questions
- What is Annie Phan's NPI number?
- Annie Phan's National Provider Identifier (NPI) is 1003617184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Annie Phan's specialty?
- Annie Phan is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Annie Phan located?
- Annie Phan's practice location on file with NPPES is 130 Pine State St Ste C, Lillington, NC 27546-9414.
- What is Annie Phan's phone number?
- The practice phone number listed in the NPPES registry for Annie Phan is (910) 474-0050.
- Does Annie Phan accept Medicare?
- Annie Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Annie Phan's NPI active?
- Yes — Annie Phan's NPI (1003617184) is active in the NPPES registry as of the last update on 2025-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.