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DIANA KIM NGUYEN
NPI 1164257663
Physician Assistant - Surgical in Fort Worth, TX

Active since September 04, 2024PECOS EnrolledAccepts Medicare Assignment
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104(817) 761-7740(817) 761-7742 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Jul 2, 2025, Sep 4, 2024 (3 updates tracked since 2024).

About Diana Kim Nguyen NPPES

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

DIANA KIM NGUYEN (NPI 1164257663) is an individual surgical provider in Fort Worth, Texas, licensed in Texas (PA18707) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164257663
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDIANA KIM NGUYEN
Location Address1325 PENNSYLVANIA AVE STE 690Fort Worth, TX 76104-2133
Mailing Address349 Corral Acres WayFort Worth, TX 76120-4306 · (817) 718-8373
Phone(817) 761-7740
Fax(817) 761-7742
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 4, 2024
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1164257663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA18707
1325 PENNSYLVANIA AVE STE 690, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7200 · Phone (214) 648-1701
Location 21325 Pennsylvania Ave Ste 600Fort Worth, TX 76104-2133 · Phone (817) 761-7740

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Diana Kim Nguyen 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 ID9133634702
PECOS Enrollment IDI20250714000900
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.

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

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.

ANN MARY BATES APRN -AGACNP-BC
Nurse Practitioner (Acute Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 761-7740
SARAH CORNELIA SHAW DO
Surgery (Surgical Critical Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 761-7740
LESLIE C. HARDICK DO, PA
Obstetrics & Gynecology
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 924-2216
EDDIE BLAY JR. M.D
Surgery (Surgical Critical Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 761-7740
DR. MICHELLE MORIAH HAGOPIAN M.D.
Surgery (Surgical Critical Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 761-7740
LESLIE C HARDICK DO
Obstetrics & Gynecology
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 924-2216
DR. CHRISTOPHER ANTHONY DAI DO
Surgery (Surgical Critical Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 761-7740
SARAH BARNARD MITCHELL
Surgery
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Tarrant County (817) 761-7740

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 Diana Nguyen's NPI number?

The NPI number for Diana Nguyen is 1164257663. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Diana Nguyen located?

Diana Nguyen practices at 1325 Pennsylvania Ave Ste 690, Fort Worth, TX 76104. The listed phone number is (817) 761-7740.

What is Diana Nguyen's specialty?

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

Is Diana Nguyen enrolled in Medicare?

Yes. Diana 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 Diana Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas list Diana 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 Diana Nguyen affiliated with any hospitals?

According to CMS data, Diana Nguyen is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Diana Nguyen was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.