1. Home
  2. Directory
  3. Texas
  4. Plano
  5. Nurse Practitioner
  6. NPI Profile

PHIANH THI NGUYEN APRN
NPI 1104254986
Nurse Practitioner in Plano, TX

Active since October 14, 2013PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
5800 COMMUNICATIONS PKWY, PLANO, TX 75093(972) 265-4190(972) 265-4189 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2023, Oct 28, 2020, Nov 28, 2018 and 1 more (4 updates tracked since 2018).

About Phianh Thi Nguyen Aprn NPPES

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

PHIANH THI NGUYEN APRN (NPI 1104254986) is an individual nurse practitioner in Plano, Texas, licensed in Texas (AP1010691) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104254986
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePHIANH THI NGUYENCredential: APRN
Location Address5800 COMMUNICATIONS PKWYPlano, TX 75093-7882
Mailing Address5800 Communications PkwyPlano, TX 75093-7882 · (972) 265-4190 · Fax (972) 265-4189
Phone(972) 265-4190
Fax(972) 265-4189
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 14, 2013
Last NPPES UpdateMay 25, 20234 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1104254986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TX · AP1010691✔ Licensed in KY · 3008283
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 3008283 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3008283 (KY)
5800 COMMUNICATIONS PKWY, Plano, TX 75093
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11505 S 7th StLouisville, KY 40208-1710 · Phone (502) 637-1005 ext. 119 · Fax (502) 637-5631
Location 24402 Churchman Ave Ste 201Louisville, KY 40215-3100 · Phone (502) 416-0207
Location 36124 W Parker Rd Ste 336Plano, TX 75093-8124 · Phone (972) 265-4190 · Fax (972) 265-4189

Other Identifiers 1

Medicaid7100263950KY

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

Phianh Thi Nguyen Aprn 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 ID8426283094
PECOS Enrollment IDI20201027000122
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 4

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.
225 services170 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.
114 services97 patients
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.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 3

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

PAULINA BELLEZZA PA-C
Physician Assistant
5800 COMMUNICATIONS PKWY
PLANO, TX 75093
Collin County (972) 265-4190
DR. AMIT HARI MASAND M.D.
Internal Medicine (Gastroenterology)
5800 COMMUNICATIONS PKWY
PLANO, TX 75093
Collin County (972) 265-4190
DR. CYNTHIA GLENN WEBB MD
Pediatrics
5800 COMMUNICATIONS PKWY
PLANO, TX 75093
Collin County (214) 369-7661

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 Phianh Nguyen's NPI number?

The NPI number for Phianh Nguyen is 1104254986. It was assigned to this individual provider in the NPPES registry on October 14, 2013.

Where is Phianh Nguyen located?

Phianh Nguyen practices at 5800 Communications Pkwy, Plano, TX 75093. The listed phone number is (972) 265-4190.

What is Phianh Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Phianh Nguyen enrolled in Medicare?

Yes. Phianh 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 Phianh Nguyen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Phianh 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 Phianh Nguyen affiliated with any hospitals?

According to CMS data, Phianh Nguyen is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Phianh Nguyen was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.