MR. JOSHUA NGUYEN (PA-C) – Physician Assistant, NPI 1093144339

MR. JOSHUA NGUYEN (PA-C) is a healthcare provider. based in Kailua kona, Hawaii. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2013-0078 (NM). The NPI Number for MR. JOSHUA NGUYEN (PA-C) is 1093144339

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSHUA NGUYEN (PA-C)
NPI
1093144339
Phone
(808) 326-5629
Address
75-5751 KUAKINI HWY STE 203
Enumeration Date
7 November 2013
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
2264669589
Group Practice PAC ID
1557389400
Professional Enrollment ID
I20200506000470
Address ID
HI967508177KE81XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

356 PHYSICIAN ASSISTANT in HI

Provider Addresses for MR. JOSHUA NGUYEN (PA-C)

  • 75-5751 KUAKINI HWY STE 203

    KAILUA KONA, HI 967401753

    Phone: (808) 326-5629

    Type: Mailing

  • 75-5751 KUAKINI HWY STE 101A

    KAILUA KONA, HI 967401705

    Phone: (808) 326-5629

    Type: Location

  • 1190 SPRING CREEK PL

    STE E1

    SPRINGVILLE, UT 846636002

    Phone: (505) 841-1000

    Fax: (505) 843-2956

    Type: Mailing

  • 224 CRUZ ALTA RD STE G

    TAOS, NM 875715947

    Phone: (505) 226-1296

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($105).

Total Amount

$209

General + Research + Ownership

Payments

2

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

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: 2020-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20131212000798IPhysician AssistantNMTBD
I20200506000470IPhysician AssistantHITBD

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 96740)

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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: 1557389400View full group profile
NameSpecialtyState
Physician AssistantHI
Physician AssistantHI
Certified Nurse Midwife (Cnm)HI
Nurse PractitionerHI
Clinical Social WorkerHI
-HI
Clinical PsychologistHI
-CA
P S Y C H I A T R YHI
Physician AssistantHI

Reviews

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Frequently asked questions

What identifier follows MR. JOSHUA NGUYEN (PA-C) across health systems?
The NPI 1093144339 uniquely identifies MR. JOSHUA NGUYEN (PA-C) in U.S. healthcare data.
Is MR. JOSHUA NGUYEN (PA-C)'s NPI status active today?
Active status means MR. JOSHUA NGUYEN (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say MR. JOSHUA NGUYEN (PA-C) does?
Insurance directories may phrase it differently, but here MR. JOSHUA NGUYEN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MR. JOSHUA NGUYEN (PA-C)?
The directory associates MR. JOSHUA NGUYEN (PA-C) with Kailua Kona, Hawaii. Check all listed addresses for suites or satellite offices.
Why is information missing for MR. JOSHUA NGUYEN (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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