MY NGUYEN (NP) – Family Nurse Practitioner, NPI 1093488967

MY NGUYEN (NP) is a healthcare provider. based in Temple terrace, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 11014049 (FL). The NPI Number for MY NGUYEN (NP) is 1093488967

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MY NGUYEN (NP)
NPI
1093488967
Phone
(813) 987-2911
Address
5205 E FLETCHER AVE
Enumeration Date
27 July 2021
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8137780288
Graduation Year
2021 (5 years ago)
PAC ID
7012307481
Group Practice PAC ID
0648631192
Professional Enrollment ID
I20211130000954
Address ID
FL335447363WE2740XCIRX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for MY NGUYEN (NP)

  • 5205 E FLETCHER AVE

    TEMPLE TERRACE, FL 336171126

    Phone: (813) 987-2911

    Type: Mailing

  • 38135 MARKET SQUARE DR

    ZEPHYRHILLS, FL 335427505

    Phone: (813) 987-2911

    Type: Mailing

  • 13311 N 56TH ST

    TAMPA, FL 336171161

    Phone: (813) 899-2105

    Fax: (813) 355-5904

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,041.

Total Amount is formed as General ($1,041) + Research ($0) + Ownership ($0) = $1,041.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($312).

Total Amount

$1,041

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,041

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2021-11-30

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
I20211130000954INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes281154$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes7373$0
G0442Annual alcohol misuse screening, 5 to 15 minutes6868$0
G0444Annual depression screening, 5 to 15 minutes6666$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6666$0
View full utilization report →

Insurance plans in this area (ZIP 33617)

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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: 0648631192View full group profile
NameSpecialtyState
Nurse PractitionerFL
Diagnostic RadiologyFL
Gastroenterology, Internal MedicineIA
Vascular Surgery, General SurgeryFL
Family PracticeKY
Nurse PractitionerFL
R H E U M A T O L O G YFL
Physician AssistantFL
Physician AssistantFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

How do I look up MY NGUYEN (NP) by NPI?
Use NPI 1093488967 when you need to reference MY NGUYEN (NP) in forms, claims, or directories.
Is MY NGUYEN (NP) currently active in the NPI registry?
CMS-published data lists MY NGUYEN (NP) as an active registrant.
What field does MY NGUYEN (NP) work in?
You can think of MY NGUYEN (NP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MY NGUYEN (NP)?
The page summarizes Temple Terrace, Florida for MY NGUYEN (NP); expand the address list for detail.
How can I contact MY NGUYEN (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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