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NHAN HUU NGUYEN D.O.
NPI 1215018692
Family Medicine in Henderson, KY

Active since October 18, 2006PECOS Enrolled
89.55/100
CMS Quality Rating
1015 NORTH ELM STREET, HENDERSON, KY 42420(270) 826-8009(270) 826-7010 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nhan Huu Nguyen D.o. NPPES

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

NHAN HUU NGUYEN D.O. (NPI 1215018692) is an individual family medicine provider in Henderson, Kentucky, licensed in Kentucky (02949) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215018692
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNHAN HUU NGUYENCredential: D.O.
Location Address1015 NORTH ELM STREETHenderson, KY 42420
Mailing Address1015 North Elm StreetHenderson, KY 42420 · (270) 826-8009 · Fax (270) 826-7010
Phone(270) 826-8009
Fax(270) 826-7010
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1215018692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 02949
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 02004665A (IN)
1015 NORTH ELM STREET, Henderson, KY 42420
Open in Google Maps ↗

Other Identifiers 3

Medicaid64109994KY
Medicare UPIN0225106KY
Medicare UPINI33010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nhan Huu Nguyen D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nhan Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America LLC
108 mi
Emergency Medicine
3901 S 7TH ST
Terre Haute, IN 47802
  • Reassigned Medicare billing, Indiana enrollment
  • 598 clinicians in this Medicare group
NPI 1629898507 (812) 237-1622
Emergency Professionals Of Indiana, P.C.
253 mi
Emergency Medicine
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Emergency Professionals Of Indiana PC
  • 404 clinicians in this Medicare group
NPI 1013951219 (260) 435-2699

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
83 services75 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services64 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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 Nhan Nguyen's NPI number?

The NPI number for Nhan Nguyen is 1215018692. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Nhan Nguyen located?

Nhan Nguyen practices at 1015 North Elm Street, Henderson, KY 42420. The listed phone number is (270) 826-8009.

What is Nhan Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nhan Nguyen enrolled in Medicare?

Yes. Nhan Nguyen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nhan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nhan Nguyen reassigns Medicare benefits to 2 organizations: Cep America LLC (Terre Haute, IN) and Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nhan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nhan Nguyen accept?

Health plans from CareSource list Nhan 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.

When was this NPI record last updated?

The NPPES record for Nhan Nguyen was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.