PHUONG-THAO THI NGUYEN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1538870787

PHUONG-THAO THI NGUYEN (PMHNP) is a healthcare provider. based in Hoffman estates, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 209.026520 (IL). The NPI Number for PHUONG-THAO THI NGUYEN (PMHNP) is 1538870787

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
PHUONG-THAO THI NGUYEN (PMHNP)
NPI
1538870787
Phone
(224) 489-3888
Address
2500 W Higgins Rd Ste 210
Enumeration Date
8 December 2022
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2244893888
Graduation Year
2022 (4 years ago)
PAC ID
0547611105
Group Practice PAC ID
6406957919
Professional Enrollment ID
I20240108004295
Address ID
IL601697234HO2500XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for PHUONG-THAO THI NGUYEN (PMHNP)

  • 2500 W Higgins Rd Ste 210

    Hoffman Estates, IL 601697234

    Phone: (224) 489-3888

    Type: Location

  • 100 HOWE AVE STE 170N

    SACRAMENTO, CA 958258241

    Phone: (925) 282-1778

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $3,037.

Total Amount is formed as General ($3,037) + Research ($0) + Ownership ($0) = $3,037.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($566).

Total Amount

$3,037

General + Research + Ownership

Payments

71

Total payment records

General Amount

$3,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2025-03-19

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
I20240108004295INurse PractitionerILTBD
I20250319003420INurse PractitionerCATBD

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 60169)

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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: 6406957919View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

How is PHUONG-THAO THI NGUYEN (PMHNP) identified in CMS data?
CMS-hosted NPPES data lists PHUONG-THAO THI NGUYEN (PMHNP) with NPI 1538870787.
Is PHUONG-THAO THI NGUYEN (PMHNP) listed as active for patients and plans?
The listing shows PHUONG-THAO THI NGUYEN (PMHNP) as active in the NPI system.
What taxonomy line describes PHUONG-THAO THI NGUYEN (PMHNP)?
For research purposes, treat PHUONG-THAO THI NGUYEN (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect PHUONG-THAO THI NGUYEN (PMHNP) on a map?
Expect Hoffman Estates, Illinois as a primary anchor for PHUONG-THAO THI NGUYEN (PMHNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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