MS. AUTUMN NGUYEN (PAC) – Physician Assistant, NPI 1003199910
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. AUTUMN NGUYEN (PAC)
38935 ANN ARBOR RD
CREDENTIALING/PAYER ENROLLMENT DEPT
LIVONIA, MI 481503397
Phone: (734) 632-0175
Fax: (734) 805-0489
Type: Location
601 PARK ST
EMERGENCY DEPARTMENT
HONESDALE, PA 184311445
Phone: (570) 253-8140
Fax: (570) 253-8633
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 $59.
Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: PFIZER INC. ($21).
Total Amount
$59
General + Research + Ownership
Payments
3
Total payment records
General Amount
$59
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $21 |
| CSL Behring | $20 |
| Janssen Pharmaceuticals, Inc | $18 |
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: 2020-01-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111104000403 | I | Physician Assistant | PA | TBD |
| I20200123001628 | I | Physician Assistant | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 226 | 222 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 220 | 214 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 118 | 118 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 44 | 44 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 13 | 11 | $0 |
Insurance plans in this area (ZIP 48150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| - | NY | |
| Orthopedic Surgery | ME | |
| - | NY | |
| Orthopedic Surgery | NY | |
| Physician Assistant | NY | |
| - | NY | |
| - | NY |
Reviews
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