THINH NGUYEN NP
NPI 1184013435
Nurse Practitioner - Family in Raleigh, NC

Active since January 09, 2015PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
1540 SUNDAY DR, RALEIGH, NC 27607(919) 782-3456(919) 852-3580 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thinh Nguyen Np NPPES

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

THINH NGUYEN NP (NPI 1184013435) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5007388) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Georgetown University School Of Medicine (2014).

NPPES Registry Identity

NPI1184013435
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHINH NGUYENCredential: NP
Location Address1540 SUNDAY DRRaleigh, NC 27607-6010
Mailing Address1540 Sunday DrRaleigh, NC 27607-6010 · (919) 782-3456 · Fax (919) 852-3580
Fax(919) 852-3580
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2014
Enumeration DateJanuary 9, 2015
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
NPI 1184013435 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 NC · 5007388
1540 SUNDAY DR, Raleigh, NC 27607

Other Identifiers 1

Other5007388NC · Np License

Accepted 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

Thinh Nguyen Np 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 ID3577889922
PECOS Enrollment IDI20150303001346
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.
180 services161 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.
95 services83 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
65 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.93
Promoting Interoperability100
Improvement Activities40
Cost93.42

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.

Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physician Assistant
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Nurse Practitioner (Family)
1540 SUNDAY DR
RALEIGH, NC 27607

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 Thinh Nguyen's NPI number?

The NPI number for Thinh Nguyen is 1184013435. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Thinh Nguyen located?

Thinh Nguyen practices at 1540 Sunday Dr, Raleigh, NC 27607. The listed phone number is (919) 782-3456.

What is Thinh Nguyen's specialty?

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

Is Thinh Nguyen enrolled in Medicare?

Yes. Thinh 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 Thinh Nguyen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Thinh 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 Thinh Nguyen affiliated with any hospitals?

According to CMS data, Thinh Nguyen is affiliated with Wakemed, Raleigh Campus and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Thinh Nguyen was last updated on April 1, 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.