KHANH-UYEN TINA HUU NGUYEN (PA) – Family Medicine Physician, NPI 1396397261
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for KHANH-UYEN TINA HUU NGUYEN (PA)
4515 Marsha Sharp Fwy
Lubbock, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Location
9430, Northeast Vancouver Mall Drive, Vancouver, Clark County, Washington, 98662, United States
VANCOUVER, WA 986626172
Phone: (360) 253-6947
Fax: (360) 448-6324
Type: Mailing
1825 MAPLE ST
FOREST GROVE, OR 971161939
Phone: (503) 359-6180
Fax: (503) 359-6105
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: 2025-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190906002261 | I | Physician Assistant | WA | TBD |
| I20211108002075 | I | Physician Assistant | OR | TBD |
| I20251107004737 | I | Physician Assistant | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 81003 | Automated urinalysis test | 24 | 24 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 13 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 79407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Nurse Practitioner | FL | |
| Physician Assistant | NV | |
| - | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| - | OR | |
| - | OR | |
| - | FL |
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