PAULINA NGUYO
NPI 1063015931
Nurse Practitioner - Primary Care in Pocomoke City, MD

Active since November 20, 2020PECOS EnrolledAccepts Medicare Assignment
1604 MARKET ST, POCOMOKE CITY, MD 21851(410) 957-9488 Get Directions Write a Review

NPPES record last updated: August 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paulina Nguyo NPPES

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

PAULINA NGUYO (NPI 1063015931) is an individual primary care provider in Pocomoke City, Maryland, licensed in Maryland (R212310) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1063015931
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NamePAULINA NGUYO
Location Address1604 MARKET STPocomoke City, MD 21851-1714
Mailing Address27610 Belgian WaySalisbury, MD 21801 · (443) 365-0452
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 20, 2020
Last NPPES UpdateAugust 1, 2021
NPPES CertifiedJuly 13, 2021
NPI 1063015931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MD · R212310
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License R212310 (MD)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R212310 (MD)
1604 MARKET ST, Pocomoke City, MD 21851

Secondary Practice Location 1

Location 127610 Belgian WaySalisbury, MD 21801 · Phone (443) 365-0452

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

Paulina Nguyo 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 ID4183028434
PECOS Enrollment IDI20210809001038, I20211110000219
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.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
395 services205 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
274 services109 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
111 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
84 services84 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services49 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
43 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21851 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims1,560 services$0.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$185.13 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier13 claims13 services$25.95 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 4

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

Physician Assistant
1604 MARKET ST
POCOMOKE CITY, MD 21851
Internal Medicine
1604 MARKET ST
POCOMOKE CITY, MD 21851
Internal Medicine
1604 MARKET ST
POCOMOKE CITY, MD 21851
Nurse Practitioner (Family)
1604 MARKET ST
POCOMOKE CITY, MD 21851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paulina Nguyo's NPI number?

The NPI number for Paulina Nguyo is 1063015931. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Paulina Nguyo located?

Paulina Nguyo practices at 1604 Market St, Pocomoke City, MD 21851. The listed phone number is (410) 957-9488.

What is Paulina Nguyo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Paulina Nguyo enrolled in Medicare?

Yes. Paulina Nguyo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Paulina Nguyo affiliated with any hospitals?

According to CMS data, Paulina Nguyo is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Paulina Nguyo was last updated on August 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.