THANH LAN NGUYEN (PA) – Physician Assistant, NPI 1104105485

THANH LAN NGUYEN (PA) is a healthcare provider. based in Woonsocket, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA07204 (TX). The NPI Number for THANH LAN NGUYEN (PA) is 1104105485

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
THANH LAN NGUYEN (PA)
NPI
1104105485
Phone
(866) 389-2727
Address
PO BOX 772
Enumeration Date
4 August 2011
Last Update Date
4 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2145908006
Graduation Year
2010 (16 years ago)
PAC ID
0648442590
Group Practice PAC ID
8325934813
Professional Enrollment ID
I20111019000025
Address ID
TX752357709DA5200XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for THANH LAN NGUYEN (PA)

  • PO BOX 772

    WOONSOCKET, RI 028950784

    Phone: (866) 389-2727

    Fax: (401) 652-9787

    Type: Mailing

  • 460 NORTHWEST PKWY

    AZLE, TX 760203136

    Phone: (866) 389-2727

    Fax: (401) 652-9787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Inari Medical, Inc. ($52).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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: 2011-10-19

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
I20111019000025IPhysician AssistantTXTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1311$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 02895)

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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: 8325934813View full group profile
NameSpecialtyState
-TX
-IN
Family PracticeMA
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows THANH LAN NGUYEN (PA) across health systems?
The NPI 1104105485 uniquely identifies THANH LAN NGUYEN (PA) in U.S. healthcare data.
Is THANH LAN NGUYEN (PA) currently accepting referrals based on NPI status?
Registry metadata lists THANH LAN NGUYEN (PA) as active.
What does the directory say THANH LAN NGUYEN (PA) does?
Insurance directories may phrase it differently, but here THANH LAN NGUYEN (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to THANH LAN NGUYEN (PA)?
THANH LAN NGUYEN (PA) shows a connection to Woonsocket, Rhode Island in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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