THINA T NGUYEN (PA-C) – Physician Assistant, NPI 1861057291

THINA T NGUYEN (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA201683 (OR). The NPI Number for THINA T NGUYEN (PA-C) is 1861057291

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
THINA T NGUYEN (PA-C)
NPI
1861057291
Phone
Not provided
Address
2730 SW MOODY AVE
Enumeration Date
1 May 2019
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032335548
Graduation Year
2020 (6 years ago)
PAC ID
0547673329
Group Practice PAC ID
5799758785
Professional Enrollment ID
I20210115002286
Address ID
OR970155774CL10151RDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for THINA T NGUYEN (PA-C)

  • Flying Elephants Delicatessen, 2730, Southwest Moody Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97201, United States

    PORTLAND, OR 972015042

    Phone:

    Type: Mailing

  • 2730 SW Moody Ave

    Portland, OR 972015042

    Phone: (503) 494-3633

    Type: Location

  • 16180 SE Sunnyside Rd Ste 102

    Happy Valley, OR 970156302

    Phone: (503) 582-4900

    Type: Location

  • 9280 SE SUNNYBROOK BLVD STE 300

    CLACKAMAS, OR 970159353

    Phone: (503) 233-5548

    Fax: (866) 663-1070

    Type: Mailing

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • 16180 SE SUNNYSIDE RD STE 102

    HAPPY VALLEY, OR 970156302

    Phone: (503) 582-4900

    Type: Location

  • 10151 SE SUNNYSIDE RD STE 240

    CLACKAMAS, OR 970155774

    Phone: (503) 233-5548

    Fax: (866) 663-1070

    Type: Mailing

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: 2021-01-15

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
I20210115002286IPhysician AssistantORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4541$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
G0008Administration of influenza virus vaccine1414$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1212$0
View full utilization report →

Insurance plans in this area (ZIP 97201)

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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: 5799758785View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YOR
Qualified AudiologistCA
Qualified AudiologistOR
O T O L A R Y N G O L O G YCA
-OR
-OR
-OR
Qualified AudiologistOR
O T O L A R Y N G O L O G YOR
Otolaryngology, Maxillofacial Surgery, Plastic And Reconstructive SurgeryOR

Reviews

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Frequently asked questions

How do I look up THINA T NGUYEN (PA-C) by NPI?
Use NPI 1861057291 when you need to reference THINA T NGUYEN (PA-C) in forms, claims, or directories.
Is THINA T NGUYEN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is THINA T NGUYEN (PA-C)?
The page reflects Physician Assistant for THINA T NGUYEN (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for THINA T NGUYEN (PA-C)?
The page summarizes Portland, Oregon for THINA T NGUYEN (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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