MR. ALEX NGHIA LAM – Psychiatric/Mental Health Nurse Practitioner, NPI 1104620921

MR. ALEX NGHIA LAM is a healthcare provider. based in Largo, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11038621 (FL). The NPI Number for MR. ALEX NGHIA LAM is 1104620921

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALEX NGHIA LAM
NPI
1104620921
Phone
(727) 238-3241
Address
716 SEMINOLE BLVD STE C
Enumeration Date
2 April 2025
Last Update Date
31 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139991516
Graduation Year
2024 (2 years ago)
PAC ID
3072003631
Group Practice PAC ID
9234514464
Professional Enrollment ID
I20251104000112
Address ID
FL335115014BR413XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MR. ALEX NGHIA LAM

  • 716 SEMINOLE BLVD STE C

    LARGO, FL 337703627

    Phone: (727) 238-3241

    Fax: (727) 238-8402

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-04

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
I20251104000112INurse 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.

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

Insurance plans in this area (ZIP 33770)

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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: 9234514464View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to MR. ALEX NGHIA LAM?
The federal identifier for MR. ALEX NGHIA LAM is NPI 1104620921.
Is MR. ALEX NGHIA LAM currently active in the NPI registry?
CMS-published data lists MR. ALEX NGHIA LAM as an active registrant.
What field does MR. ALEX NGHIA LAM work in?
You can think of MR. ALEX NGHIA LAM as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MR. ALEX NGHIA LAM?
The snapshot lists Largo, Florida for MR. ALEX NGHIA LAM; download NPPES for the complete set.
What if Largo, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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