STEPHANIE CHAN NGUYEN – Medical Physician Assistant, NPI 1316257314

STEPHANIE CHAN NGUYEN is a healthcare provider. based in Burleson, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA06983 (TX). The NPI Number for STEPHANIE CHAN NGUYEN is 1316257314

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE CHAN NGUYEN
NPI
1316257314
Phone
(817) 766-7421
Address
621 SW JOHNSON AVE
Enumeration Date
12 October 2010
Last Update Date
12 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177667422
Graduation Year
2010 (16 years ago)
PAC ID
0345467478
Group Practice PAC ID
4284930959
Professional Enrollment ID
I20140813000189
Address ID
TX761371940FO3629XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for STEPHANIE CHAN NGUYEN

  • 621 SW JOHNSON AVE

    STE C

    BURLESON, TX 760285834

    Phone: (817) 766-7421

    Fax: (817) 447-8100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 367 Open Payments records for all available years, with a total value of $7,479.

Total Amount is formed as General ($7,479) + Research ($0) + Ownership ($0) = $7,479.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,468).

Total Amount

$7,479

General + Research + Ownership

Payments

367

Total payment records

General Amount

$7,479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2014-08-13

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
I20140813000189IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes13474$0
17003Destruction of precancer skin growth, 2-14 growths11821$0
99214Established patient office or other outpatient visit, 30-39 minutes7858$0
17000Destruction of precancer skin growth, 1 growth4633$0
17110Destruction of skin growth, 1-14 growths4032$0
View full utilization report →

Insurance plans in this area (ZIP 76028)

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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: 4284930959View full group profile
NameSpecialtyState
Family Practice, DermatologyTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Is STEPHANIE CHAN NGUYEN listed with a National Provider Identifier?
Yes — STEPHANIE CHAN NGUYEN has NPI 1316257314 on file in the registry.
Active or inactive — what applies to STEPHANIE CHAN NGUYEN?
You should see STEPHANIE CHAN NGUYEN as active in CMS-hosted NPPES data.
What clinical focus is listed for STEPHANIE CHAN NGUYEN?
At a glance, STEPHANIE CHAN NGUYEN is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHANIE CHAN NGUYEN?
Directory geography for STEPHANIE CHAN NGUYEN centers on Burleson, Texas.
When was this NPI issued?
Enumeration for STEPHANIE CHAN NGUYEN is noted as October 12, 2010 where the registry provides it.

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