NINA TRAN (FNP-BC) – Family Nurse Practitioner, NPI 1013747633

NINA TRAN (FNP-BC) is a healthcare provider. based in Gresham, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 10030454 (OR). The NPI Number for NINA TRAN (FNP-BC) is 1013747633

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
NINA TRAN (FNP-BC)
NPI
1013747633
Phone
(503) 206-2253
Address
772 SW 49TH DR
Enumeration Date
7 August 2024
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033056262
Graduation Year
2024 (2 years ago)
PAC ID
9133668312
Group Practice PAC ID
4284891243
Professional Enrollment ID
I20250108003634
Address ID
WA986847525VA180XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for NINA TRAN (FNP-BC)

  • 772 SW 49TH DR

    GRESHAM, OR 970805531

    Phone: (503) 206-2253

    Type: Mailing

  • 180 NE 192ND AVE STE 505

    VANCOUVER, WA 986847511

    Phone: (503) 305-6262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240902000461INurse PractitionerORTBD
I20250108003634INurse PractitionerWATBD

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 97080)

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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: 4284891243View full group profile
NameSpecialtyState
Physician AssistantMI
-OR
Nurse PractitionerCA
General PracticeOR
-NH
Physician AssistantOR
Nurse PractitionerCA
General PracticeOR
Physician AssistantME
Physician AssistantWA

Reviews

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Frequently asked questions

Is there an official ID for NINA TRAN (FNP-BC) in U.S. healthcare records?
The official identifier for NINA TRAN (FNP-BC) is NPI 1013747633.
Would NINA TRAN (FNP-BC) appear as active to a payer?
You can treat NINA TRAN (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is NINA TRAN (FNP-BC)?
NINA TRAN (FNP-BC) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NINA TRAN (FNP-BC)?
Travel planning: use Gresham, Oregon as the reference point for NINA TRAN (FNP-BC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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