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KHOA NGUYEN APRN, CNP
NPI 1881363976
Nurse Practitioner in Urbana, IL

Active since September 10, 2021PECOS EnrolledAccepts Medicare Assignment
1111 W KENYON RD STE B, URBANA, IL 61801(217) 819-3376(217) 729-7788 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2023, Sep 19, 2022, Aug 19, 2022 and 2 more (5 updates tracked since 2021).

About Khoa Nguyen Aprn, Cnp NPPES

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

KHOA NGUYEN APRN, CNP (NPI 1881363976) is an individual nurse practitioner in Urbana, Illinois, licensed in Illinois (209023980) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Watseka, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881363976
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKHOA NGUYENCredential: APRN, CNP
Location Address1111 W KENYON RD STE BUrbana, IL 61801-1010
Mailing Address1111 W Kenyon Rd Ste BUrbana, IL 61801-1010 · (217) 819-3376 · Fax (217) 729-7788
Phone(217) 819-3376
Fax(217) 729-7788
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2021
Last NPPES UpdateAugust 22, 20235 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1881363976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209023980
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1111 W KENYON RD STE B, Urbana, IL 61801
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Secondary Practice Location 1

Location 1200 E Fairman AveWatseka, IL 60970-1644 · Phone (815) 432-5841

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khoa Nguyen Aprn, Cnp 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 ID6103215363
PECOS Enrollment IDI20211110001586
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Khoa Nguyen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group
1.2 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Christie Clinic, PLLC
1.4 mi
Internal Medicine
101 W UNIVERSITY AVE
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 289 clinicians in this Medicare group
NPI 1871523829 (217) 366-1200
Vitalskin Medical Group Il PLLC
45 mi
Dermatology
917 REMINGTON RD
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1063030252 (217) 205-3376
Iroquois Memorial Hospital And Resident Home
51 mi
Critical Access
200 E FAIRMAN AVE
Watseka, IL 60970
  • Reassigned Medicare billing, Illinois enrollment
  • 78 clinicians in this Medicare group
NPI 1629003470 (815) 432-5841
Toofan Medical Holdings, Ltd.
71 mi
Urgent Care
1001 AVENUE OF MID AMERICA, SUITE 4
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1396179693 (217) 994-9301
Trinity Medical Staffing LLC
Internal Medicine
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 60 clinicians in this Medicare group
NPI 1770103426 (618) 253-7671

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
233 services212 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
32 services26 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
17 services17 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

KRISANDRA BANET
Physician Assistant
1111 W KENYON RD STE B
URBANA, IL 61801
Champaign County (217) 729-7657
SARAH J. KINCAID PA-C
Physician Assistant
1111 W KENYON RD STE B
URBANA, IL 61801
Champaign County (217) 819-3376
JEREMY SCOTT YOUSE MD
Dermatology (MOHS-Micrographic Surgery)
1111 W KENYON RD STE B
URBANA, IL 61801
Champaign County (217) 819-3376

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 Khoa Nguyen's NPI number?

The NPI number for Khoa Nguyen is 1881363976. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Khoa Nguyen located?

Khoa Nguyen practices at 1111 W Kenyon Rd Ste B, Urbana, IL 61801. The listed phone number is (217) 819-3376.

What is Khoa Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Khoa Nguyen enrolled in Medicare?

Yes. Khoa 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.

Which organizations bill Medicare for Khoa Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khoa Nguyen reassigns Medicare benefits to 6 organizations: Carle Health Medical Group (Urbana, IL), Christie Clinic, PLLC (Champaign, IL), Vitalskin Medical Group Il PLLC (Mattoon, IL), Iroquois Memorial Hospital And Resident Home (Watseka, IL), Toofan Medical Holdings, Ltd. (Effingham, IL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khoa Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Khoa Nguyen was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.