TRACI NGAN LE (AGPCNP) – Nurse Practitioner, NPI 1225417124
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TRACI NGAN LE (AGPCNP)
9191 WESTMINSTER AVE STE 207
GARDEN GROVE, CA 928442751
Phone: (714) 786-5794
Fax: (714) 786-5799
Type: Mailing
9191 WESTMINSTER AVE STE 209
GARDEN GROVE, CA 92844
Phone: (714) 786-5794
Fax: (714) 786-5799
Type: Location
9862 Chapman Ave Ste B
Garden Grove, CA 928412726
Phone: (714) 418-2040
Fax: (714) 418-2045
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $2,113.
Total Amount is formed as General ($2,113) + Research ($0) + Ownership ($0) = $2,113.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Lilly USA, LLC ($451).
Total Amount
$2,113
General + Research + Ownership
Payments
108
Total payment records
General Amount
$2,113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $451 |
| Abbott Laboratories | $372 |
| Dexcom, Inc. | $349 |
| AstraZeneca Pharmaceuticals LP | $138 |
| Novo Nordisk Inc | $133 |
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: 2017-06-08
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 |
|---|---|---|---|---|
| I20170608002695 | I | Nurse Practitioner | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92844)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA |
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