NGOC JENNIFER DOAN (PAC) – Medical Physician Assistant, NPI 1093576381

NGOC JENNIFER DOAN (PAC) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA3345 (KY). The NPI Number for NGOC JENNIFER DOAN (PAC) is 1093576381

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
NGOC JENNIFER DOAN (PAC)
NPI
1093576381
Phone
(502) 451-9296
Address
4119 BROWNS LN STE 1
Enumeration Date
23 January 2024
Last Update Date
23 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024519296
Graduation Year
2023 (3 years ago)
PAC ID
8022451152
Group Practice PAC ID
2466366257
Professional Enrollment ID
I20240206002325
Address ID
KY402201500LO4119XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,736 PHYSICIAN ASSISTANT in KY

Provider Addresses for NGOC JENNIFER DOAN (PAC)

  • 4119 BROWNS LN STE 1

    LOUISVILLE, KY 402201500

    Phone: (502) 451-9296

    Fax: (502) 451-9291

    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)

CMS reports 41 Open Payments records for all available years, with a total value of $1,213.

Total Amount is formed as General ($1,213) + Research ($0) + Ownership ($0) = $1,213.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($332).

Total Amount

$1,213

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2024-02-06

PECOS data refreshed: 2026-06-15

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
I20240206002325IPhysician AssistantKYTBD

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 40220)

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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: 2466366257View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY
-KY
P S Y C H I A T R YKY
Family PracticeKY

Reviews

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Frequently asked questions

Can I verify NGOC JENNIFER DOAN (PAC) with an NPI only?
You can start verification with NPI 1093576381 for NGOC JENNIFER DOAN (PAC), then check state licensing separately.
Is NGOC JENNIFER DOAN (PAC) still practicing?
NGOC JENNIFER DOAN (PAC) is currently listed as active in the public NPI registry.
What is NGOC JENNIFER DOAN (PAC)'s specialty?
The listing groups NGOC JENNIFER DOAN (PAC) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does NGOC JENNIFER DOAN (PAC) serve?
NGOC JENNIFER DOAN (PAC)'s listing highlights Louisville, Kentucky; more addresses can appear in NPPES.
Why does NGOC JENNIFER DOAN (PAC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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