DR. MIMI NGOC NGUYEN M.D.
NPI 1063754075
Family Medicine in Seatac, WA

Active since March 18, 2013PECOS EnrolledAccepts Medicare Assignment
4040 S 188TH ST STE 201, SEATAC, WA 98188(425) 277-7200 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2021, Dec 18, 2020, Jun 15, 2020 (3 updates tracked since 2020).

About Dr. Mimi Ngoc Nguyen M.d. NPPES

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

DR. MIMI NGOC NGUYEN M.D. (NPI 1063754075) is an individual family medicine provider in Seatac, Washington, licensed in Washington (MD60586377) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2013).

NPPES Registry Identity

NPI1063754075
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIMI NGOC NGUYENCredential: M.D.
Location Address4040 S 188TH ST STE 201Seatac, WA 98188-5070
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2013
Enumeration DateMarch 18, 2013
Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
NPI 1063754075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD60586377
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4040 S 188TH ST STE 201, Seatac, WA 98188

Secondary Practice Locations 3

Location 11401 Madison St, Ste. 100Seattle, WA 98104-1316 · Phone (206) 386-6197
Location 21200 12th Ave SSeattle, WA 98144-2712 · Phone (206) 326-2400 · Fax (206) 621-4434
Location 3125 16th Ave ESeattle, WA 98112-5211 · Phone (206) 326-3000 · Fax (877) 515-2975

Accepted Insurance

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

Dr. Mimi Ngoc Nguyen M.d. 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 ID2365760766
PECOS Enrollment IDI20160831000339, I20160920001333
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 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.

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.
110 services67 patients
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.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98188 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$13.34 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 20

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

Family Medicine
4040 S 188TH ST STE 201
SEATAC, WA 98188
Pharmacy (Community/Retail Pharmacy)
4040 S 188TH ST STE 201
SEATAC, WA 98188
Dentist
4040 S 188TH ST STE 201
SEATAC, WA 98188
Family Medicine
4040 S 188TH ST STE 201
SEATAC, WA 98188
Naturopath
4040 S 188TH ST STE 201
SEATAC, WA 98188
Counselor
4040 S 188TH ST STE 201
SEATAC, WA 98188
Physician Assistant
4040 S 188TH ST STE 201
SEATAC, WA 98188
Family Medicine
4040 S 188TH ST STE 201
SEATAC, WA 98188

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 Mimi Nguyen's NPI number?

The NPI number for Mimi Nguyen is 1063754075. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Mimi Nguyen located?

Mimi Nguyen practices at 4040 S 188th St Ste 201, Seatac, WA 98188. The listed phone number is (425) 277-7200.

What is Mimi Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mimi Nguyen enrolled in Medicare?

Yes. Mimi Nguyen 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.

What insurance does Mimi Nguyen accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mimi Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mimi Nguyen was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.