MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225877632

MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) is a healthcare provider. based in Canton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. RN2326473 (MA). The NPI Number for MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) is 1225877632

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC)
NPI
1225877632
Phone
(781) 236-7343
Address
1017 TURNPIKE ST STE 33
Enumeration Date
23 May 2024
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812367343
Graduation Year
2024 (2 years ago)
PAC ID
4183168636
Group Practice PAC ID
5395128276
Professional Enrollment ID
I20240626000986
Address ID
MA020212853CA1017XSTXX301
Telehealth
Yes
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

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC)

  • 1017 TURNPIKE ST STE 33

    CANTON, MA 020212856

    Phone: (781) 236-7343

    Fax: (781) 806-1026

    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 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Lundbeck LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lundbeck LLC$19
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: 2024-06-26

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
I20240626000986INurse PractitionerMATBD

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 02021)

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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: 5395128276View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Does MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) uses 1225877632.
Can I rely on MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) being an active provider?
As of the registry snapshot, MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) is marked active.
What taxonomy line describes MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC)?
For research purposes, treat MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) based?
MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) is tied to Canton, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does MRS. PHUC HA PHUONG NGUYEN (PMHNP-BC) 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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