KELLIE HANG NGUYEN FNP-C
NPI 1932886991
Nurse Practitioner - Family in San Diego, CA

Active since June 30, 2023Opted out of Medicare · through Nov 1, 2027
404 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108(619) 876-4250 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2023, Oct 17, 2023 (2 updates tracked since 2023).

About Kellie Hang Nguyen Fnp-c NPPES

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

KELLIE HANG NGUYEN FNP-C (NPI 1932886991) is an individual family provider in San Diego, California, licensed in California (95025913) and active in the NPI registry since June 2023. She has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932886991
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE HANG NGUYENCredential: FNP-C
Location Address404 CAMINO DEL RIO S STE 102San Diego, CA 92108-3586
Mailing Address404 Camino Del Rio S Ste 102San Diego, CA 92108-3586 · (619) 876-4250
Sole ProprietorYes
Enumeration DateJune 30, 2023
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1932886991 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 CA · 95025913
404 CAMINO DEL RIO S STE 102, San Diego, CA 92108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kellie Hang Nguyen Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2025 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2025
Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 13

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

Nurse Practitioner (Family)
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Student in an Organized Health Care Education/Training Program
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Family)
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Family)
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Family)
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Primary Care)
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Nurse Practitioner (Family)
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108
Student in an Organized Health Care Education/Training Program
404 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108

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 Kellie Nguyen's NPI number?

The NPI number for Kellie Nguyen is 1932886991. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Kellie Nguyen located?

Kellie Nguyen practices at 404 Camino Del Rio S Ste 102, San Diego, CA 92108. The listed phone number is (619) 876-4250.

What is Kellie Nguyen's specialty?

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

Is Kellie Nguyen enrolled in Medicare?

No. Kellie Nguyen has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kellie Nguyen was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.