Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tien T Pham, APN, CNP

Individual provider Nurse Practitioner · NPI 1912473273

Tien T Pham, APN, CNP is a Nurse Practitioner in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

5405 N Knoxville Ave
Peoria, IL 61614-5016
Phone: (309) 589-2050
Fax: (309) 692-4730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1127 W Glen Ave, Peoria, IL 61614-4865 — (309) 916-9100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209017737 (IL)

Record details

NPI number1912473273
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , CNP
Sole proprietorYes
NPI enumeratedOctober 15, 2018
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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