KAITLYN NGUYEN (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1245796374

KAITLYN NGUYEN (AGACNP-BC) is a healthcare provider. based in Jersey city, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 26NJ00901200 (NJ). The NPI Number for KAITLYN NGUYEN (AGACNP-BC) is 1245796374

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN NGUYEN (AGACNP-BC)
NPI
1245796374
Phone
(610) 428-8357
Address
134 GATES AVE
Enumeration Date
13 February 2019
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5519962900
Graduation Year
2018 (8 years ago)
PAC ID
5799018610
Group Practice PAC ID
3779974274
Professional Enrollment ID
I20190610000343
Address ID
NJ076011271HA5XXXXAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for KAITLYN NGUYEN (AGACNP-BC)

  • 134, Gates Avenue, Greenville, Jersey City, Hudson County, New Jersey, 07305, United States

    JERSEY CITY, NJ 073052409

    Phone: (610) 428-8357

    Type: Mailing

  • 5 Summit Ave Ste 105

    Hackensack, NJ 076011271

    Phone: (201) 880-8072

    Type: Location

  • 105, Summit Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    HACKENSACK, NJ 076011271

    Phone: (201) 880-8072

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Integra LifeSciences Corporation ($140).

Total Amount

$207

General + Research + Ownership

Payments

7

Total payment records

General Amount

$207

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

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: 2019-06-10

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
I20190610000343INurse PractitionerNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,146197$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes674183$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes34878$0
11046Removal of muscle and/or tissue, each additional 20.0 sq cm or less15533$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes15452$0
View full utilization report →

Insurance plans in this area (ZIP 07305)

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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: 3779974274View full group profile
NameSpecialtyState
Physician AssistantNJ
General Surgery, Critical Care (Intensivists)FL
Physician AssistantNJ
General SurgeryNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physician AssistantNY

Reviews

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Frequently asked questions

Is KAITLYN NGUYEN (AGACNP-BC) listed with a National Provider Identifier?
Yes — KAITLYN NGUYEN (AGACNP-BC) has NPI 1245796374 on file in the registry.
Would KAITLYN NGUYEN (AGACNP-BC) appear as active to a payer?
You can treat KAITLYN NGUYEN (AGACNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KAITLYN NGUYEN (AGACNP-BC)?
KAITLYN NGUYEN (AGACNP-BC)'s specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KAITLYN NGUYEN (AGACNP-BC) located near Jersey City?
KAITLYN NGUYEN (AGACNP-BC) currently maps to Jersey City, New Jersey in this extract.
Does KAITLYN NGUYEN (AGACNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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