NIKI THI NGUYEN PMHNP
NPI 1538919618
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since March 25, 2024PECOS EnrolledAccepts Medicare Assignment
425 LAKE AVE N STE 101, WORCESTER, MA 01605(508) 753-3220(508) 753-3224 Get Directions Write a Review

NPPES record last updated: February 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Niki Thi Nguyen Pmhnp NPPES

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

NIKI THI NGUYEN PMHNP (NPI 1538919618) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2302779) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538919618
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNIKI THI NGUYENCredential: PMHNP
Location Address425 LAKE AVE N STE 101Worcester, MA 01605-2073
Mailing Address425 Lake Ave N Ste 101Worcester, MA 01605-2073 · (508) 753-3220 · Fax (508) 753-3224
Fax(508) 753-3224
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 25, 2024
Last NPPES UpdateFebruary 2, 2025
NPPES CertifiedFebruary 2, 2025
NPI 1538919618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2302779
425 LAKE AVE N STE 101, Worcester, MA 01605

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

Niki Thi Nguyen Pmhnp 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 ID4587194428
PECOS Enrollment IDI20250207001481
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 11

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

Nurse Practitioner (Psychiatric/Mental Health)
425 LAKE AVE N STE 101
WORCESTER, MA 01605
Nurse Practitioner (Psychiatric/Mental Health)
425 LAKE AVE N STE 101
WORCESTER, MA 01605
Registered Nurse
425 LAKE AVE N STE 101
WORCESTER, MA 01605
Nurse Practitioner (Psychiatric/Mental Health)
425 LAKE AVE N STE 101
WORCESTER, MA 01605
Counselor
425 LAKE AVE N STE 101
WORCESTER, MA 01605
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
425 LAKE AVE N STE 101
WORCESTER, MA 01605
Nurse Practitioner (Psychiatric/Mental Health)
425 LAKE AVE N STE 101
WORCESTER, MA 01605
Psychiatry & Neurology (Psychiatry)
425 LAKE AVE N STE 101
WORCESTER, MA 01605

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 Niki Nguyen's NPI number?

The NPI number for Niki Nguyen is 1538919618. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Niki Nguyen located?

Niki Nguyen practices at 425 Lake Ave N Ste 101, Worcester, MA 01605. The listed phone number is (508) 753-3220.

What is Niki Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Niki Nguyen enrolled in Medicare?

Yes. Niki 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 Niki Nguyen accept?

Health plans from Harvard Pilgrim Health Care list Niki 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 Niki Nguyen was last updated on February 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.