DR. NICOLE NGUYEN (MD) – Psychiatry Physician, NPI 1063918449

DR. NICOLE NGUYEN (MD) is a healthcare provider. based in Grapevine, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. T5179 (TX). The NPI Number for DR. NICOLE NGUYEN (MD) is 1063918449

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE NGUYEN (MD)
NPI
1063918449
Phone
(210) 201-2241
Address
940 S MAIN ST
Enumeration Date
4 April 2018
Deactivation Date
9 April 2021
Reactivation Date
18 May 2021
Last Update Date
17 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2102012241
Graduation Year
2018 (8 years ago)
PAC ID
7012391907
Group Practice PAC ID
9830540962
Professional Enrollment ID
I20220825003775
Address ID
TX782303883SA8000XIHXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for DR. NICOLE NGUYEN (MD)

  • 940 S MAIN ST

    STE 191

    GRAPEVINE, TX 76051

    Phone: (210) 201-2241

    Fax: (210) 756-5125

    Type: Location

  • 8000 W Interstate 10 Ste 1500

    San Antonio, TX 782303883

    Phone: (210) 201-2241

    Fax: (210) 756-5125

    Type: Location

  • 7703, Floyd Curl Drive, South Texas Medical Center, San Antonio, Bexar County, Texas, 78229, United States

    SAN ANTONIO, TX 782293901

    Phone: (210) 567-1601

    Type: Location

  • 519, Laura Lane, North Westchester Meadows, South Westchester Meadow, Grand Prairie, Dallas County, Texas, 75052, United States

    GRAND PRAIRIE, TX 750522810

    Phone: (972) 415-3815

    Type: Mailing

  • 3405 BRAES MEADOW CT

    GRAND PRAIRIE, TX 750528017

    Phone: (972) 415-3815

    Type: Location

  • 920 S MAIN ST STE 191

    GRAPEVINE, TX 760517548

    Phone: (210) 201-2241

    Fax: (210) 756-5125

    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: 2023-10-12

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
I20220825003775IPsychiatryTXTBD
I20231012001942IPsychiatryUTTBD

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 76051)

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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: 9830540962View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

Can I verify DR. NICOLE NGUYEN (MD) with an NPI only?
You can start verification with NPI 1063918449 for DR. NICOLE NGUYEN (MD), then check state licensing separately.
Is DR. NICOLE NGUYEN (MD) still practicing?
DR. NICOLE NGUYEN (MD) is currently listed as active in the public NPI registry.
What is DR. NICOLE NGUYEN (MD) best known for clinically?
Directory data describes DR. NICOLE NGUYEN (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. NICOLE NGUYEN (MD) on a map?
Expect Grapevine, Texas as a primary anchor for DR. NICOLE NGUYEN (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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