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NICOLE NGOC NGUYEN DO
NPI 1073683462
Family Medicine in Prosper, TX

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
4530 W UNIVERSITY DR, PROSPER, TX 75078(469) 607-7504 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Ngoc Nguyen Do NPPES

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

NICOLE NGOC NGUYEN DO (NPI 1073683462) is an individual family medicine provider in Prosper, Texas, licensed in Texas (M4398) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2003).

NPPES Registry Identity

NPI1073683462
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE NGOC NGUYENCredential: DO
Location Address4530 W UNIVERSITY DRProsper, TX 75078-9090
Mailing Address4530 W University DrProsper, TX 75078-9090 · (469) 607-7504
Phone(469) 607-7504
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2003
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1073683462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M4398
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.
4530 W UNIVERSITY DR, Prosper, TX 75078
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Other Identifiers 1

Other8DY499TX · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nicole Ngoc Nguyen Do 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 ID1557457090
PECOS Enrollment IDI20071015000536
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75078 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

MRS. LEEANN CUEVAS FNP-C
Nurse Practitioner (Family)
4530 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (757) 814-8808

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 Nicole Nguyen's NPI number?

The NPI number for Nicole Nguyen is 1073683462. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Nicole Nguyen located?

Nicole Nguyen practices at 4530 W University Dr, Prosper, TX 75078. The listed phone number is (469) 607-7504.

What is Nicole Nguyen's specialty?

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

Is Nicole Nguyen enrolled in Medicare?

Yes. Nicole 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 Nicole Nguyen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Nicole 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 Nicole Nguyen was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.