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KIMBERLY THAO NGUYEN FNP-C
NPI 1619487907
Nurse Practitioner - Family in Dallas, TX

Active since October 02, 2017PECOS EnrolledAccepts Medicare Assignment
9441 LYNDON B JOHNSON FWY STE 114, DALLAS, TX 75243(214) 557-4111(214) 764-7611 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Thao Nguyen Fnp-c NPPES

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

KIMBERLY THAO NGUYEN FNP-C (NPI 1619487907) is an individual family provider in Dallas, Texas, licensed in Texas (AP135265) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619487907
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY THAO NGUYENCredential: FNP-C
Location Address9441 LYNDON B JOHNSON FWY STE 114Dallas, TX 75243-4635
Mailing Address9441 Lyndon B Johnson Fwy Ste 114Dallas, TX 75243-4635 · (214) 557-4111 · Fax (214) 764-7611
Phone(214) 557-4111
Fax(214) 764-7611
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 2, 2017
✔ NPI 1619487907 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 TX · AP135265
9441 LYNDON B JOHNSON FWY STE 114, Dallas, TX 75243
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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

Kimberly Thao Nguyen Fnp-c 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 ID2961812805
PECOS Enrollment IDI20201105000245
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 75243 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

DYLAN LEMPP
Nurse Practitioner
9441 LYNDON B JOHNSON FWY STE 114
DALLAS, TX 75243
Dallas County (214) 557-4111
MADISON ROSE GEORGIANA PA-C
Physician Assistant
9441 LYNDON B JOHNSON FWY STE 114
DALLAS, TX 75243
Dallas County (214) 557-4111
SHYANN PISANO
Physician Assistant
9441 LYNDON B JOHNSON FWY STE 114
DALLAS, TX 75243
Dallas County (214) 557-4111

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 Kimberly Nguyen's NPI number?

The NPI number for Kimberly Nguyen is 1619487907. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Kimberly Nguyen located?

Kimberly Nguyen practices at 9441 Lyndon B Johnson Fwy Ste 114, Dallas, TX 75243. The listed phone number is (214) 557-4111.

What is Kimberly Nguyen's specialty?

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

Is Kimberly Nguyen enrolled in Medicare?

Yes. Kimberly 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.

When was this NPI record last updated?

The NPPES record for Kimberly Nguyen was last updated on October 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.