ANH NGOC NGUYEN NURSE PRACTITIONER
NPI 1902451404
Nurse Practitioner in Cartersville, GA

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
78 OPAL ST, CARTERSVILLE, GA 30120(770) 382-6120 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Aug 2, 2019 (2 updates tracked since 2019).

About Anh Ngoc Nguyen Nurse Practitioner NPPES

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

ANH NGOC NGUYEN NURSE PRACTITIONER (NPI 1902451404) is an individual nurse practitioner in Cartersville, Georgia, licensed in Georgia (RN219622) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902451404
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANH NGOC NGUYENCredential: NURSE PRACTITIONER
Location Address78 OPAL STCartersville, GA 30120-2848
Mailing Address13 Starlight Dr Nw Ste CCartersville, GA 30121-9263 · (706) 331-6972
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 2, 2019
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1902451404 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 GA · RN219622
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.
78 OPAL ST, Cartersville, GA 30120

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

Anh Ngoc Nguyen Nurse Practitioner 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 ID5799190344
PECOS Enrollment IDI20210212001706
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

4

Medicare enrollment records show Anh Nguyen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5131 WARM SPRINGS RD
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
Nurse Practitioner
333 N SUMMIT ST, 7TH FLOOR
Toledo, OH 43604
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, Georgia enrollment
  • 55 clinicians in this Medicare group
Wound Care
4770 WHITE PLAINS RD
Bronx, NY 10470
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
532 services153 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
399 services128 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
201 services177 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
103 services50 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
23 services21 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 18

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

Occupational Therapy Assistant
78 OPAL ST
CARTERSVILLE, GA 30120
Occupational Therapy Assistant
78 OPAL ST
CARTERSVILLE, GA 30120
Physical Therapy Assistant
78 OPAL ST
CARTERSVILLE, GA 30120
Student in an Organized Health Care Education/Training Program
78 OPAL ST
CARTERSVILLE, GA 30120
Internal Medicine
78 OPAL ST
CARTERSVILLE, GA 30120
Physical Therapy Assistant
78 OPAL ST
CARTERSVILLE, GA 30120
Occupational Therapy Assistant
78 OPAL ST
CARTERSVILLE, GA 30120
Speech-Language Pathologist
78 OPAL ST
CARTERSVILLE, GA 30120

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 Anh Nguyen's NPI number?

The NPI number for Anh Nguyen is 1902451404. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Anh Nguyen located?

Anh Nguyen practices at 78 Opal St, Cartersville, GA 30120. The listed phone number is (770) 382-6120.

What is Anh Nguyen's specialty?

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

Is Anh Nguyen enrolled in Medicare?

Yes. Anh 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 Anh Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anh Nguyen reassigns Medicare benefits to 4 organizations: Renew Wound Care Of Georgia LLC (Columbus, GA), Hcr Manorcare Medical Services Of Florida LLC (Toledo, OH), Medical Director Services PC (Princess Anne, MD) and Regenerative Wound Solutions PC (Bronx, NY). 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 Anh 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 Anh Nguyen was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.