JACLYN NGUYEN
NPI 1003442013
Internal Medicine - Hospice and Palliative Medicine in Ogden, UT

Q: What is Jaclyn Nguyen's NPI number?

The NPI number for Jaclyn Nguyen is 1003442013. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Q: What is Jaclyn Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Nguyen was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment

4403 HARRISON BLVD STE 3630, OGDEN, UT 84403(801) 387-7900 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2024, Jul 12, 2021, Jul 9, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Jaclyn Nguyen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN NGUYEN (NPI 1003442013) is an individual hospice and palliative medicine provider in Ogden, Utah, licensed in Utah (13931063-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2020).

NPPES Registry Identity

NPI1003442013

Entity TypeIndividualFemale

Primary Taxonomy207RH0002X

Provider Legal NameJACLYN NGUYEN

Location Address4403 HARRISON BLVD STE 3630Ogden, UT 84403-3287

Mailing Address1015 Walnut St Ste 401Philadelphia, PA 19107-5005

Phone(801) 387-7900

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2020

Enumeration DateMarch 21, 2020

Last NPPES UpdateApril 15, 20245 updates tracked since enumeration

NPPES CertifiedApril 15, 2024

✔ NPI 1003442013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Licenses✔ Licensed in UT · 13931063-1205✔ Licensed in PA · MT228157

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

4403 HARRISON BLVD STE 3630, Ogden, UT 84403

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Nguyen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062834336

PECOS Enrollment IDI20240725002141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

Same address

Pulmonary Disease

4403 HARRISON BLVD STE 3875
Ogden, UT 84403

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1033853775 (801) 387-8290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

18 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services13 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$18.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EWA GNIADO

Internal Medicine (Endocrinology, Diabetes & Metabolism)