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THU THANH NGUYEN FNP
NPI 1205459369
Nurse Practitioner - Family in Edgewood, NM

Active since May 24, 2020PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
104 QUAIL TRAIL, UNIT B, EDGEWOOD, NM 87015(505) 208-0204(505) 717-2884 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2020, May 24, 2020 (2 updates tracked since 2020).

About Thu Thanh Nguyen Fnp NPPES

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

THU THANH NGUYEN FNP (NPI 1205459369) is an individual family provider in Edgewood, New Mexico, licensed in New Mexico (59655) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205459369
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHU THANH NGUYENCredential: FNP
Location Address104 QUAIL TRAIL, UNIT BEdgewood, NM 87015
Mailing Address104 Quail Trail, Unit BEdgewood, NM 87015 · (505) 208-0204 · Fax (505) 717-2884
Phone(505) 208-0204
Fax(505) 717-2884
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 24, 2020
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1205459369 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 NM · 59655
104 QUAIL TRAIL, Edgewood, NM 87015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.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

Thu Thanh Nguyen Fnp 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 ID7911323746
PECOS Enrollment IDI20200811002794
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 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.
173 services142 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.
58 services58 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services39 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87015 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

SERINA JOHNSON
Licensed Practical Nurse
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204
THOMAS BLACK NP
Nurse Practitioner (Family)
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0208
MRS. KALEIGH ROBERTS FNP
Nurse Practitioner (Family)
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204
DOUGLAS IVAN LUDINGTON NP
Nurse Practitioner (Family)
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204

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 Thu Nguyen's NPI number?

The NPI number for Thu Nguyen is 1205459369. It was assigned to this individual provider in the NPPES registry on May 24, 2020.

Where is Thu Nguyen located?

Thu Nguyen practices at 104 Quail Trail Unit B, Edgewood, NM 87015. The listed phone number is (505) 208-0204.

What is Thu Nguyen's specialty?

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

Is Thu Nguyen enrolled in Medicare?

Yes. Thu 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 Thu Nguyen accept?

Health plans from CHRISTUS Health Plan list Thu 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 Thu Nguyen affiliated with any hospitals?

According to CMS data, Thu Nguyen is affiliated with Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Thu Nguyen was last updated on August 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.