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KATHY KIM NGUYEN PA-C
NPI 1790641397
Physician Assistant in Rockford, IL

Active since December 29, 2025PECOS EnrolledAccepts Medicare Assignment
5666 E STATE ST, ROCKFORD, IL 61108(815) 227-2586 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Kim Nguyen Pa-c NPPES

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

KATHY KIM NGUYEN PA-C (NPI 1790641397) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085011823) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2025).

NPPES Registry Identity

NPI1790641397
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHY KIM NGUYENCredential: PA-C
Location Address5666 E STATE STRockford, IL 61108-2425
Mailing Address8522 Central Park AveSkokie, IL 60076-2302
Phone(815) 227-2586
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2025
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1790641397 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 IL · 085011823
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.
5666 E STATE ST, Rockford, IL 61108
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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

Kathy Kim Nguyen Pa-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 ID4880171438
PECOS Enrollment IDI20260126000555
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

REGIONAL CARDIOLOGY CONSULTANTS LTD
Specialist
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
BALARAMA KRISHNA SURAPANENI
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
ANTHONY ENRICO
Nurse Anesthetist, Certified Registered
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
TYLER JAMES RAFFERTY FNP-BC
Nurse Practitioner (Family)
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
CHRISTOPHER VITTORE
Radiology (Diagnostic Radiology)
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
ANGELA GIARDONO FNP
Nurse Practitioner (Family)
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
DR. LAURA CARROLL PT, DPT
Physical Therapist
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
RAJYALAXMI MULLAPUDI M.D.
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-2000

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 Kathy Nguyen's NPI number?

The NPI number for Kathy Nguyen is 1790641397. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Kathy Nguyen located?

Kathy Nguyen practices at 5666 E State St, Rockford, IL 61108. The listed phone number is (815) 227-2586.

What is Kathy Nguyen's specialty?

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

Is Kathy Nguyen enrolled in Medicare?

Yes. Kathy 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.

Is Kathy Nguyen affiliated with any hospitals?

According to CMS data, Kathy Nguyen is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Kathy Nguyen was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.