THAO NGUYEN (FNP) – Family Nurse Practitioner, NPI 1255058624

THAO NGUYEN (FNP) is a healthcare provider. based in Brisbane, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95022386 (CA). The NPI Number for THAO NGUYEN (FNP) is 1255058624

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
THAO NGUYEN (FNP)
NPI
1255058624
Phone
(925) 497-0188
Address
453 SAN FRANCISCO AVE
Enumeration Date
25 October 2022
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8582512314
Graduation Year
2018 (8 years ago)
PAC ID
9931691813
Group Practice PAC ID
8628019320
Professional Enrollment ID
I20251127000151
Address ID
CA937054210FR2550XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for THAO NGUYEN (FNP)

  • 453 SAN FRANCISCO AVE

    BRISBANE, CA 940051325

    Phone: (925) 497-0188

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $309.

Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$309

General + Research + Ownership

Payments

4

Total payment records

General Amount

$309

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2025-11-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251127000151INurse PractitionerCATBD

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 94005)

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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: 8628019320View full group profile
NameSpecialtyState
P S Y C H I A T R YMA
P S Y C H I A T R YCA
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerWA
Clinical Social WorkerCA
Clinical Social WorkerCA
P S Y C H I A T R YCA
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What federal number belongs to THAO NGUYEN (FNP)?
The federal identifier for THAO NGUYEN (FNP) is NPI 1255058624.
Does this profile mean THAO NGUYEN (FNP) is currently active?
Yes — THAO NGUYEN (FNP) appears active in the national provider directory.
What field does THAO NGUYEN (FNP) work in?
You can think of THAO NGUYEN (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for THAO NGUYEN (FNP)?
The page summarizes Brisbane, California for THAO NGUYEN (FNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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