MR. ETHAN D NGUYEN NP-C
NPI 1821587346
Nurse Practitioner - Family in Avondale, AZ

Q: What is Ethan Nguyen's NPI number?

The NPI number for Ethan Nguyen is 1821587346. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Q: What is Ethan Nguyen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Nguyen was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment

13065 W MCDOWELL RD STE A105, AVONDALE, AZ 85392(623) 536-6788(235) 369-2886 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Sep 29, 2020, May 6, 2020 and 2 more (5 updates tracked since 2018).

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About Mr. Ethan D Nguyen Np-c NPPES

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

MR. ETHAN D NGUYEN NP-C (NPI 1821587346) is an individual family provider in Avondale, Arizona, licensed in Arizona (F09190130) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821587346

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ETHAN D NGUYENCredential: NP-C

Location Address13065 W MCDOWELL RD STE A105Avondale, AZ 85392-6440

Mailing Address13065 W Mcdowell Rd Ste A105Avondale, AZ 85392-6440 · (623) 536-6788 · Fax (623) 536-9288

Phone(623) 536-6788

Fax(235) 369-2886

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMay 10, 2018

Last NPPES UpdateOctober 21, 20205 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1821587346 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 AZ · F09190130

13065 W MCDOWELL RD STE A105, Avondale, AZ 85392

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Mr. Ethan D Nguyen Np-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 ID6507284833

PECOS Enrollment IDI20200917001962

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85392 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 5

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

ANGELA DOAN

Physician Assistant (Medical)