NGOC DIEP THI NGUYEN MPAS, PA-C
NPI 1124057633
Physician Assistant - Surgical in Colleyville, TX

Active since June 30, 2006PECOS Enrolled
3901 TREEMONT CIR, COLLEYVILLE, TX 76034(972) 975-0079 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ngoc Diep Thi Nguyen Mpas, Pa-c NPPES

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

NGOC DIEP THI NGUYEN MPAS, PA-C (NPI 1124057633) is an individual surgical provider in Colleyville, Texas and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1124057633
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNGOC DIEP THI NGUYENCredential: MPAS, PA-C
Location Address3901 TREEMONT CIRColleyville, TX 76034
Mailing Address1919 Hope WayDallas, TX 75206-8177 · (972) 975-0079 · Fax (972) 863-9911
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 20, 2018
NPI 1124057633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
3901 TREEMONT CIR, Colleyville, TX 76034

Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-3000

Other Identifiers 1

OtherPA0445TX · Texas Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ngoc Diep Thi Nguyen Mpas, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Physician Assistant (Surgical)
3901 TREEMONT CIR
COLLEYVILLE, TX 76034
Physician Assistant (Surgical)
3901 TREEMONT CIR
COLLEYVILLE, TX 76034
Physician Assistant (Surgical)
3901 TREEMONT CIR
COLLEYVILLE, TX 76034

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 Ngoc Diep Nguyen's NPI number?

The NPI number for Ngoc Diep Nguyen is 1124057633. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Ngoc Diep Nguyen located?

Ngoc Diep Nguyen practices at 3901 Treemont Cir, Colleyville, TX 76034. The listed phone number is (972) 975-0079.

What is Ngoc Diep Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ngoc Diep Nguyen enrolled in Medicare?

Yes. Ngoc Diep Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ngoc Diep Nguyen was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.