BAO-KHUYEN NGUYEN LY PA-C
NPI 1972149672
Physician Assistant - Medical in Largo, FL

Q: What is Bao-khuyen Ly's NPI number?

The NPI number for Bao-khuyen Ly is 1972149672. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Q: What is Bao-khuyen Ly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Bao-khuyen Ly was last updated on April 17, 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.

Active since November 18, 2019PECOS EnrolledAccepts Medicare Assignment

13670 WALSINGHAM RD, LARGO, FL 33774(727) 593-9848 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Sep 1, 2022, Mar 22, 2021 and 2 more (5 updates tracked since 2019).

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About Bao-khuyen Nguyen Ly Pa-c NPPES

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

BAO-KHUYEN NGUYEN LY PA-C (NPI 1972149672) is an individual medical provider in Largo, Florida, licensed in Florida (PA9112468) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972149672

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBAO-KHUYEN NGUYEN LYCredential: PA-C

Location Address13670 WALSINGHAM RDLargo, FL 33774-3532

Mailing Address11921 N Dale Mabry HwyTampa, FL 33618-3512 · (813) 609-3635

Phone(727) 593-9848

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 18, 2019

Last NPPES UpdateApril 17, 20235 updates tracked since enumeration

NPPES CertifiedApril 17, 2023

✔ NPI 1972149672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9112468

13670 WALSINGHAM RD, Largo, FL 33774

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Other Identifiers 1

Medicaid108286600FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bao-khuyen Nguyen Ly Pa-c 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 ID6901232818

PECOS Enrollment IDI20200212000524

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.

Areas of Expertise CMS Part B claims 2

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.

60 services60 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

RADICA SINGH APRN

Nurse Practitioner (Primary Care)