PHUONG THI NGOC NGUYEN
NPI 1922707272
Nurse Practitioner - Women's Health in San Jose, CA

Active since February 27, 2023PECOS Enrolled
1569 LEXANN AVE STE 120, SAN JOSE, CA 95121(408) 270-4267 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phuong Thi Ngoc Nguyen NPPES

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

PHUONG THI NGOC NGUYEN (NPI 1922707272) is an individual women's health provider in San Jose, California, licensed in California (95017978) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922707272
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NamePHUONG THI NGOC NGUYEN
Location Address1569 LEXANN AVE STE 120San Jose, CA 95121-1794
Mailing Address1569 Lexann Ave Ste 120San Jose, CA 95121-1794
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 25, 2023
✔ NPI 1922707272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in CA · 95017978
1569 LEXANN AVE STE 120, San Jose, CA 95121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phuong Thi Ngoc Nguyen 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.

Medicare Billing Reassignment

Medicare enrollment records show Phuong Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Specialty
969 STORY RD, SUITE 6066
San Jose, CA 95122
  • Reassigned Medicare billing, California enrollment
  • 3 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95121 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 2

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

Family Medicine
1569 LEXANN AVE STE 120
SAN JOSE, CA 95121
Physician Assistant (Medical)
1569 LEXANN AVE STE 120
SAN JOSE, CA 95121

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 Phuong Nguyen's NPI number?

The NPI number for Phuong Nguyen is 1922707272. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Phuong Nguyen located?

Phuong Nguyen practices at 1569 Lexann Ave Ste 120, San Jose, CA 95121. The listed phone number is (408) 270-4267.

What is Phuong Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Phuong Nguyen enrolled in Medicare?

Yes. Phuong Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phuong Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phuong Nguyen reassigns Medicare benefits to Cardiology Clinic Of Northern California (San Jose, CA). The 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 Phuong 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 Phuong Nguyen was last updated on February 27, 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.