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KATHERINE NGUYEN-CLUCK
NPI 1215707898
Nurse Practitioner in Alhambra, CA

Active since January 04, 2024PECOS Enrolled
100 E HUNTINGTON DR STE 209, ALHAMBRA, CA 91801(323) 264-7796 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine Nguyen-cluck NPPES

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

KATHERINE NGUYEN-CLUCK (NPI 1215707898) is an individual nurse practitioner in Alhambra, California, licensed in California (95025397) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215707898
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE NGUYEN-CLUCK
Location Address100 E HUNTINGTON DR STE 209Alhambra, CA 91801-1022
Mailing Address8461 Entreken PlSan Diego, CA 92129-2341 · (858) 382-8720
Phone(323) 264-7796
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 4, 2024
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1215707898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95025397
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
100 E HUNTINGTON DR STE 209, Alhambra, CA 91801
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Nguyen-cluck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264871722
PECOS Enrollment IDI20240416003575
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 Katherine Nguyen-cluck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healing Edge Medical Group - Ca
Same address
Surgical
100 E HUNTINGTON DR STE 203
Alhambra, CA 91801
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1982432506 (323) 264-7796
California Wound Healing Medical Group Inc.
1.4 mi
Surgical
100 E HUNTINGTON DR STE 209
Alhambra, CA 91801
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1235333972 (323) 264-7796

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 2

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
253 services63 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
48 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91801 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

COURTENAY LYNN JULIANO FNP-BC
Nurse Practitioner (Family)
100 E HUNTINGTON DR STE 209
ALHAMBRA, CA 91801
Los Angeles County (323) 264-7796
CALIFORNIA WOUND HEALING MEDICAL GROUP INC.
Physician Assistant (Surgical)
100 E HUNTINGTON DR STE 209
ALHAMBRA, CA 91801
Los Angeles County (323) 264-7796
NEW HOPE PODIATRY GROUP INC.
Podiatrist (Foot & Ankle Surgery)
100 E HUNTINGTON DR STE 209
ALHAMBRA, CA 91801
Los Angeles County (323) 262-4146
GABRIEL J HALPERIN DPM
Podiatrist (Foot & Ankle Surgery)
100 E HUNTINGTON DR STE 209
ALHAMBRA, CA 91801
Los Angeles County (323) 262-4146

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 Katherine Nguyen-cluck's NPI number?

The NPI number for Katherine Nguyen-cluck is 1215707898. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Katherine Nguyen-cluck located?

Katherine Nguyen-cluck practices at 100 E Huntington Dr Ste 209, Alhambra, CA 91801. The listed phone number is (323) 264-7796.

What is Katherine Nguyen-cluck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Nguyen-cluck enrolled in Medicare?

Yes. Katherine Nguyen-cluck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Nguyen-cluck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Nguyen-cluck reassigns Medicare benefits to 2 organizations: Healing Edge Medical Group - Ca (Alhambra, CA) and California Wound Healing Medical Group Inc. (Alhambra, CA). 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 Katherine Nguyen-cluck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Nguyen-cluck was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.