JESSICA REYNOLDS NGUYEN PA
NPI 1013620475
Physician Assistant - Surgical in Denver, CO

Q: What is Jessica Reynolds Nguyen's NPI number?

The NPI number for Jessica Reynolds Nguyen is 1013620475. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Q: What is Jessica Reynolds Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since January 02, 2023PECOS EnrolledAccepts Medicare Assignment

2045 N FRANKLIN ST, DENVER, CO 80205(303) 338-4545 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, Jun 25, 2024, Mar 7, 2023 and 2 more (5 updates tracked since 2023).

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About Jessica Reynolds Nguyen Pa NPPES

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

JESSICA REYNOLDS NGUYEN PA (NPI 1013620475) is an individual surgical provider in Denver, Colorado, licensed in Colorado (PA.0007789) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Englewood, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013620475

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJESSICA REYNOLDS NGUYENCredential: PA

Location Address2045 N FRANKLIN STDenver, CO 80205-5437

Mailing Address10350 E Dakota AveDenver, CO 80247-1314

Phone(303) 338-4545

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 2, 2023

Last NPPES UpdateJuly 31, 20245 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1013620475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CO · PA.0007789

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0007789 (CO)

2045 N FRANKLIN ST, Denver, CO 80205

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Secondary Practice Location 1

Location 1500 E Hampden Ave Ste 200Englewood, CO 80113-2885 · Phone (303) 783-8844

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Reynolds Nguyen Pa 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 ID5395101091

PECOS Enrollment IDI20230523001690

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.

Other Providers at the Same Location NPPES 20

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

FAITH CASIAS R.N.

Registered Nurse