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SONNARINH KHAMVONGSA APRN
NPI 1124791322
Nurse Practitioner - Family in Bowling Green, KY

Active since July 26, 2021PECOS EnrolledAccepts Medicare Assignment
1325 ANDREA ST, BOWLING GREEN, KY 42104(270) 783-3323(270) 781-0566 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sonnarinh Khamvongsa Aprn NPPES

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

SONNARINH KHAMVONGSA APRN (NPI 1124791322) is an individual family provider in Bowling Green, Kentucky, licensed in Kentucky (3015529) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124791322
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSONNARINH KHAMVONGSACredential: APRN
Location Address1325 ANDREA STBowling Green, KY 42104-5852
Mailing Address201 Park StBowling Green, KY 42101-1708 · (270) 781-5111
Phone(270) 783-3323
Fax(270) 781-0566
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1124791322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3015529
1325 ANDREA ST, Bowling Green, KY 42104
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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

Sonnarinh Khamvongsa 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 ID8628473840
PECOS Enrollment IDI20210825002429
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.

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.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers29 claims29 services$39.96 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers29 claims29 services$106.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers25 claims43 services$38.91 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers35 claims136 services$21.18 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers69 claims69 services$61.60 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers74 claims74 services$20.32 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.

DR. KAITLYN SKYE RIPPY AU.D.
Audiologist
1325 ANDREA ST
BOWLING GREEN, KY 42104
Warren County (270) 781-5111
ERIC T. WOOTEN, D.O., PSC
Surgery
1325 ANDREA ST, STE. 209
BOWLING GREEN, KY 42104
Warren County (270) 842-1669
SOUTHERN KENTUCKY UROLOGY LLC
Urology
1325 ANDREA ST, SUITE 103
BOWLING GREEN, KY 42104
Warren County (270) 796-9191
TWYLA JOHNSON APRN
Nurse Practitioner
1325 ANDREA ST
BOWLING GREEN, KY 42104
Warren County (270) 783-3323
DR. GEORGE WAYNE BUSH M.D.
Surgery
1325 ANDREA ST, SUITE 209
BOWLING GREEN, KY 42104
Warren County (270) 842-1660
JOHN O FITTS M.D., PSC
Internal Medicine (Cardiovascular Disease)
1325 ANDREA ST, STE 101
BOWLING GREEN, KY 42104
Warren County (270) 842-7272
CAPEL SURGICAL ASSOCIATES, LLC
Surgery (Vascular Surgery)
1325 ANDREA ST, SUITE 203
BOWLING GREEN, KY 42104
Warren County (270) 782-8008
MUHAMMAD SHOAIB AKBAR M.D.
Internal Medicine (Cardiovascular Disease)
1325 ANDREA ST, STE 207
BOWLING GREEN, KY 42104
Warren County (270) 846-3811

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 Sonnarinh Khamvongsa's NPI number?

The NPI number for Sonnarinh Khamvongsa is 1124791322. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Sonnarinh Khamvongsa located?

Sonnarinh Khamvongsa practices at 1325 Andrea St, Bowling Green, KY 42104. The listed phone number is (270) 783-3323.

What is Sonnarinh Khamvongsa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sonnarinh Khamvongsa enrolled in Medicare?

Yes. Sonnarinh Khamvongsa 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.

Is Sonnarinh Khamvongsa affiliated with any hospitals?

According to CMS data, Sonnarinh Khamvongsa is affiliated with The Medical Center (bowling Green).

When was this NPI record last updated?

The NPPES record for Sonnarinh Khamvongsa was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.