KIM N HULTS NGUYEN (PA) – Physician Assistant, NPI 1154953560

KIM N HULTS NGUYEN (PA) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA7424 (). The NPI Number for KIM N HULTS NGUYEN (PA) is 1154953560

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KIM N HULTS NGUYEN (PA)
NPI
1154953560
Phone
(857) 294-2023
Address
40 TRAVELER ST APT 204
Enumeration Date
4 February 2020
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789222003
Graduation Year
2020 (6 years ago)
PAC ID
8325479157
Group Practice PAC ID
5991145849
Professional Enrollment ID
I20200512001700
Address ID
MA019071332SW413XXRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for KIM N HULTS NGUYEN (PA)

  • 40 TRAVELER ST APT 204

    BOSTON, MA 021182980

    Phone: (857) 294-2023

    Type: Mailing

  • 11 NEVINS ST STE 201

    BRIGHTON, MA 021353514

    Phone: (617) 789-2442

    Fax: (617) 202-4349

    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 $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Amgen Inc. ($41).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$41
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: 2020-05-12

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
I20200512001700IPhysician AssistantMATBD

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 minutes166156$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen133132$0
99204New patient office or other outpatient visit, 45-59 minutes116116$0
87502Detection test by nucleic acid for multiple types influenza virus7473$0
81003Automated urinalysis test7370$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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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: 5991145849View full group profile
NameSpecialtyState
Physician AssistantMA
Physician AssistantMA
Nurse PractitionerMA
Physician AssistantMA
Family Practice, Preventive MedicineNY
Family PracticeMA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I cross-check KIM N HULTS NGUYEN (PA) using NPI 1154953560?
NPI 1154953560 belongs to KIM N HULTS NGUYEN (PA); compare other details if you need extra assurance.
Is there an active status for KIM N HULTS NGUYEN (PA)?
For scheduling context, KIM N HULTS NGUYEN (PA) is shown as active in the registry.
How would a patient describe KIM N HULTS NGUYEN (PA)'s focus?
For KIM N HULTS NGUYEN (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIM N HULTS NGUYEN (PA)?
Travel planning: use Boston, Massachusetts as the reference point for KIM N HULTS NGUYEN (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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