KEVIN KHOA NGUYEN (NP) – Gerontology Nurse Practitioner, NPI 1386243830
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KEVIN KHOA NGUYEN (NP)
4367 NW AMERICAN LN
LAKE CITY, FL 320554828
Phone: (386) 758-6094
Fax: (386) 758-6995
Type: Mailing
4367 NW American Ln
Lake City, FL 320554828
Phone: (386) 758-6094
Fax: (386) 758-6995
Type: Location
6028 PINE VALLEY LN
FAIRVIEW, PA 164153272
Phone: (616) 304-9058
Type: Mailing
1426 Canyon Ave NE Ste B
Live Oak, FL 320644832
Phone: (386) 758-6094
Fax: (386) 758-6995
Type: Location
1600 SW Archer Road
Gainesville, FL 326103003
Phone: (352) 273-8656
Type: Location
1219 S PINE AVE STE 204
OCALA, FL 344716524
Phone: (352) 354-9000
Type: Mailing
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: 2024-02-06
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 |
|---|---|---|---|---|
| I20240206001108 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 178 | 174 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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