MRS. PHUONG THI KIM NGUYEN (PA) – Physician Assistant, NPI 1306125349

MRS. PHUONG THI KIM NGUYEN (PA) is a healthcare provider. based in North easton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA4230 (MA). The NPI Number for MRS. PHUONG THI KIM NGUYEN (PA) is 1306125349

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PHUONG THI KIM NGUYEN (PA)
NPI
1306125349
Phone
Not provided
Address
15 ROCHE BROS WAY
Enumeration Date
9 August 2011
Last Update Date
19 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082105920
Graduation Year
2011 (15 years ago)
PAC ID
0446422356
Group Practice PAC ID
1254321086
Professional Enrollment ID
I20111018000390
Address ID
MA023602237PL46XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for MRS. PHUONG THI KIM NGUYEN (PA)

  • 15 ROCHE BROS WAY

    NORTH EASTON, MA 023561000

    Phone:

    Type: Mailing

  • 275 SANDWICH ST

    PLYMOUTH, MA 023602183

    Phone:

    Type: Mailing

  • 12221 N MOPAC EXPY

    AUSTIN, TX 787582401

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($101).

Total Amount

$151

General + Research + Ownership

Payments

3

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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: 2011-10-18

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
I20111018000390IPhysician 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes15579$0
11042Removal of skin and tissue, 20.0 sq cm or less5029$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3026$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 02356)

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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: 1254321086View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMA
Physician AssistantMA
Certified Nurse Midwife (Cnm)MA
Physician AssistantMO
Nurse PractitionerMA
Thoracic SurgeryMA
H E M A T O L O G Y/ O N C O L O G YMA
-MA
General SurgeryMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Where can patients find MRS. PHUONG THI KIM NGUYEN (PA)'s NPI?
You can confirm MRS. PHUONG THI KIM NGUYEN (PA) with NPI 1306125349; it appears in the national provider directory.
Is MRS. PHUONG THI KIM NGUYEN (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. PHUONG THI KIM NGUYEN (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for MRS. PHUONG THI KIM NGUYEN (PA). Clinical services aligned with this taxonomy classification.
Does MRS. PHUONG THI KIM NGUYEN (PA) practice in Massachusetts?
You will see North Easton, Massachusetts on file for MRS. PHUONG THI KIM NGUYEN (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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