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KATRINA MARIE NGUYEN FNP
NPI 1962013854
Nurse Practitioner - Family in Lodi, CA

Active since August 13, 2020PECOS Enrolled
2415 W VINE ST STE 105, LODI, CA 95242(209) 333-3121(209) 762-6808 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katrina Marie Nguyen Fnp NPPES

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

KATRINA MARIE NGUYEN FNP (NPI 1962013854) is an individual family provider in Lodi, California, licensed in California (95015121) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962013854
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATRINA MARIE NGUYENCredential: FNP
Location Address2415 W VINE ST STE 105Lodi, CA 95242-3731
Mailing Address7210 Murray DrStockton, CA 95210-3339 · (209) 373-2800 · Fax (209) 762-6808
Phone(209) 333-3121
Fax(209) 762-6808
Sole ProprietorNo
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1962013854 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 · 95015121
2415 W VINE ST STE 105, Lodi, CA 95242
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Marie Nguyen Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95242 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims25 services$5.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. THAN SOE M.D.
Internal Medicine
2415 W VINE ST STE 105
LODI, CA 95242
San Joaquin County (209) 333-3121
COMMUNITY MEDICAL CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2415 W VINE ST STE 105
LODI, CA 95242
San Joaquin County (209) 333-3121
LODI MEMORIAL HOSPITAL ASSOCIATION INC
Clinic/Center (Primary Care)
2415 W VINE ST STE 105
LODI, CA 95242
San Joaquin County (209) 333-3121

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 Katrina Nguyen's NPI number?

The NPI number for Katrina Nguyen is 1962013854. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Katrina Nguyen located?

Katrina Nguyen practices at 2415 W Vine St Ste 105, Lodi, CA 95242. The listed phone number is (209) 333-3121.

What is Katrina Nguyen's specialty?

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

Is Katrina Nguyen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katrina Nguyen was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.