Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIEM-MI NGUYEN TRA PA-C
NPI 1720814957
Physician Assistant in Hickory, NC

Q: What is Diem-mi Tra's NPI number?

The NPI number for Diem-mi Tra is 1720814957. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Q: What is Diem-mi Tra's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Diem-mi Tra was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.

Active since September 12, 2024PECOS Enrolled

2406 CENTURY PL SE, HICKORY, NC 28602(828) 324-9550(828) 324-4154 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2026, Sep 12, 2024 (2 updates tracked since 2024).

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About Diem-mi Nguyen Tra Pa-c NPPES

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

DIEM-MI NGUYEN TRA PA-C (NPI 1720814957) is an individual physician assistant in Hickory, North Carolina, licensed in North Carolina (0010-16120) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720814957

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDIEM-MI NGUYEN TRACredential: PA-C

Location Address2406 CENTURY PL SEHickory, NC 28602-4031

Mailing AddressPo Box 3710Hickory, NC 28603-3710 · (828) 324-9550 · Fax (828) 324-4154

Phone(828) 324-9550

Fax(828) 324-4154

Sole ProprietorNo

Enumeration DateSeptember 12, 2024

Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1720814957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-16120

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2406 CENTURY PL SE, Hickory, NC 28602

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diem-mi Nguyen Tra Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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 20

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

MARNIE ANDERSON NP-C

Nurse Practitioner