QUAN NGUYEN – Physician Assistant, NPI 1134893993

QUAN NGUYEN is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. The NPI Number for QUAN NGUYEN is 1134893993

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
QUAN NGUYEN
NPI
1134893993
Phone
Not provided
Address
1111 W 17TH ST
Enumeration Date
5 August 2021
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4054274945
Graduation Year
2021 (5 years ago)
PAC ID
5294186276
Group Practice PAC ID
3173972627
Professional Enrollment ID
I20240104001658
Address ID
OK730134069ED3224XBROA301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for QUAN NGUYEN

  • 1111 W 17TH ST

    TULSA, OK 741071886

    Phone:

    Type: Mailing

  • 1805 Oaks Way

    Oklahoma City, OK 731311272

    Phone: (405) 819-4943

    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 $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($26).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

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: 2024-01-04

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
I20240104001658IPhysician AssistantOKTBD

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 74107)

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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: 3173972627View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerMT
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for QUAN NGUYEN?
The registry entry for QUAN NGUYEN shows NPI 1134893993.
Is QUAN NGUYEN currently accepting referrals based on NPI status?
Registry metadata lists QUAN NGUYEN as active.
What services align with QUAN NGUYEN's listing?
QUAN NGUYEN's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to QUAN NGUYEN?
The directory associates QUAN NGUYEN with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I export QUAN NGUYEN's record?
You can download the official NPPES record; we summarize key fields for readability.

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