KIMMY NHUT NGUYEN (PA-C) – Physician Assistant, NPI 1922524958

KIMMY NHUT NGUYEN (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9110890 (FL). The NPI Number for KIMMY NHUT NGUYEN (PA-C) is 1922524958

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KIMMY NHUT NGUYEN (PA-C)
NPI
1922524958
Phone
(813) 571-7184
Address
10002 PRINCESS PALM AVE STE 332
Enumeration Date
22 August 2017
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613913333
Graduation Year
2017 (9 years ago)
PAC ID
6800154915
Group Practice PAC ID
0042292849
Professional Enrollment ID
I20171219002270
Address ID
FL334862350BO900XXSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for KIMMY NHUT NGUYEN (PA-C)

  • 10002 PRINCESS PALM AVE STE 332

    TAMPA, FL 336198327

    Phone: (813) 571-7184

    Fax: (813) 654-4695

    Type: Mailing

  • 1301, 2nd Avenue Southwest, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 33770

    Phone: (727) 341-0551

    Fax: (727) 341-0332

    Type: Location

  • 6421 CONGRESS AVE STE 113

    BOCA RATON, FL 334872858

    Phone: (561) 391-3333

    Type: Mailing

  • 7425 MONIKA MANOR DR

    TAMPA, FL 336255814

    Phone: (813) 879-8045

    Type: Location

  • 3001 EXECUTIVE DR STE 130

    CLEARWATER, FL 337625323

    Phone: (727) 347-0005

    Fax: (727) 541-6558

    Type: Mailing

  • 6225 66TH ST N

    PINELLAS PARK, FL 337815025

    Phone: (727) 521-0994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $403.

Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($231).

Total Amount

$403

General + Research + Ownership

Payments

12

Total payment records

General Amount

$403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2017-12-19

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
I20171219002270IPhysician AssistantFLTBD

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 minutes5034$0
99213Established patient office or other outpatient visit, 20-29 minutes3231$0
69210Removal of impacted ear wax2420$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
31575Diagnostic exam of voice box using a flexible endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 33619)

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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: 0042292849View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Physician AssistantWI
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

How do payers reference KIMMY NHUT NGUYEN (PA-C)?
For KIMMY NHUT NGUYEN (PA-C), use NPI 1922524958 as the unique 10-digit identifier.
Is KIMMY NHUT NGUYEN (PA-C) still an active registrant?
KIMMY NHUT NGUYEN (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is KIMMY NHUT NGUYEN (PA-C)?
KIMMY NHUT NGUYEN (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KIMMY NHUT NGUYEN (PA-C)?
Directory geography for KIMMY NHUT NGUYEN (PA-C) centers on Tampa, Florida.
When was this NPI issued?
Enumeration for KIMMY NHUT NGUYEN (PA-C) is noted as August 22, 2017 where the registry provides it.

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