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: October 18, 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, is affiliated with Swedish Medical Center, and maintains 3 additional practice locations.

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, billing reassignment, and ordering and referring status from CMS.

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
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 Reassignments

5

Medicare enrollment records show Mimi Nguyen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Federally Qualified Health Center (FQHC)
4040 188TH STREET, SUITE #201
Seatac, WA 98188
  • Reassigned Medicare billing, Washington enrollment
  • 403 clinicians in this Medicare group
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Multi-Specialty
601 S CARR RD, SUITE 100
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 291 clinicians in this Medicare group
Physical Therapist
800 5TH AVE STE P100
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 663 clinicians in this Medicare group
Multi-Specialty
3901 HOYT AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group

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.

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

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

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
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

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.

Which organizations bill Medicare for Mimi Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mimi Nguyen reassigns Medicare benefits to 5 organizations: Healthpoint (Seatac, WA), Kaiser Foundation Health Plan Of Washington (Renton, WA), Pacmed Clinics (Renton, WA), Swedish Health Services (Seattle, WA) and Optum Care Washington PLLC (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mimi Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mimi Nguyen accept?

Health plans from 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.

Is Mimi Nguyen affiliated with any hospitals?

According to CMS data, Mimi Nguyen is affiliated with Swedish Medical Center.

When was this NPI record last updated?

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