MR. MIKE VAN HUYNH (N.P.) – Family Nurse Practitioner, NPI 1245536945

MR. MIKE VAN HUYNH (N.P.) is a healthcare provider. based in Vacaville, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 778570 (CA). The NPI Number for MR. MIKE VAN HUYNH (N.P.) is 1245536945

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. MIKE VAN HUYNH (N.P.)
NPI
1245536945
Phone
(707) 469-4640
Address
1119 E MONTE VISTA AVE
Enumeration Date
28 January 2011
Last Update Date
13 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256407009
Graduation Year
2014 (12 years ago)
PAC ID
4183942451
Group Practice PAC ID
4981872561
Professional Enrollment ID
I20171213000081
Address ID
WA981074959SE123XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:15State licenses:3Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for MR. MIKE VAN HUYNH (N.P.)

  • 1119 E MONTE VISTA AVE

    VACAVILLE, CA 956883009

    Phone: (707) 469-4640

    Fax: (707) 784-1494

    Type: Location

  • 275 BECK AVE

    # MS 5210

    FAIRFIELD, CA 945336804

    Phone: (707) 784-8575

    Fax: (707) 421-6759

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-10-20 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-12-13

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171213000081INurse PractitionerWATBD

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.

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

Insurance plans in this area (ZIP 95688)

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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: 4981872561View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerUT
Clinical Social WorkerWA
Clinical PsychologistWA
-WA
-CA
Nurse PractitionerWA
Mental Health CounselorWA
Mental Health CounselorWA
Nurse PractitionerOR

Reviews

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Frequently asked questions

What number should I use to identify MR. MIKE VAN HUYNH (N.P.) for billing?
Administrative and clinical systems typically use NPI 1245536945 for MR. MIKE VAN HUYNH (N.P.).
Is MR. MIKE VAN HUYNH (N.P.)'s NPI status active today?
Active status means MR. MIKE VAN HUYNH (N.P.)'s NPI record is not deactivated in the public file.
How should patients interpret MR. MIKE VAN HUYNH (N.P.)'s specialty?
The extract shows Family Nurse Practitioner for MR. MIKE VAN HUYNH (N.P.). Clinical services aligned with this taxonomy classification.
What city is tied to MR. MIKE VAN HUYNH (N.P.)?
The directory associates MR. MIKE VAN HUYNH (N.P.) with Vacaville, California. Check all listed addresses for suites or satellite offices.
Who maintains MR. MIKE VAN HUYNH (N.P.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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