ANNIE SO NGO (FNP) – Family Nurse Practitioner, NPI 1578129540

ANNIE SO NGO (FNP) is a healthcare provider. based in Lakeway, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP140183 (TX). The NPI Number for ANNIE SO NGO (FNP) is 1578129540

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANNIE SO NGO (FNP)
NPI
1578129540
Phone
(512) 263-9072
Address
1008 RANCH ROAD 620 S STE 200
Enumeration Date
15 May 2019
Last Update Date
24 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5122521505
Graduation Year
2018 (8 years ago)
PAC ID
8022344225
Group Practice PAC ID
7911337472
Professional Enrollment ID
I20190725002258
Address ID
TX787491533AU3601XDRXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ANNIE SO NGO (FNP)

  • 1008 RANCH ROAD 620 S STE 200

    LAKEWAY, TX 787345633

    Phone: (512) 263-9072

    Fax: (512) 402-9057

    Type: Location

  • 1008 RANCH ROAD 620 S

    STE 200

    LAKEWAY, TX 787345633

    Phone: (512) 263-9072

    Fax: (512) 402-9057

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,150.

Total Amount is formed as General ($1,150) + Research ($0) + Ownership ($0) = $1,150.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($275).

Total Amount

$1,150

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2019-07-25

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
I20190725002258INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1811$0
99213Established patient office or other outpatient visit, 20-29 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 78734)

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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: 7911337472View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerFL
Physician AssistantTX
Family PracticeTX
Nurse PractitionerDC
Nurse PractitionerTX
Internal MedicineTX
Physician AssistantTX
Family PracticeTX
Internal MedicineOH

Reviews

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Frequently asked questions

What NPI should I save for ANNIE SO NGO (FNP)?
Save NPI 1578129540 if you need a stable reference for ANNIE SO NGO (FNP).
Is ANNIE SO NGO (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANNIE SO NGO (FNP)?
The page reflects Family Nurse Practitioner for ANNIE SO NGO (FNP). Clinical services aligned with this taxonomy classification.
Does ANNIE SO NGO (FNP) practice in Texas?
You will see Lakeway, Texas on file for ANNIE SO NGO (FNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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