Y-Minh Nguyen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110011985 Issued in VA

Practice address

1500 Breezeport Way Ste 600
Suffolk, VA 23435-3731

Phone

(757) 528-8245

Fax

(757) 394-1120

NPI assigned

Jan 7, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22776/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tidewater Lung and Sleep Center, PLLC

  • Pulmonary Disease Physician
  • Suffolk, VA
  • NPI 1275132235
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1023827656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BREEZEPORT WAY STE 600",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353731",
            "telephone_number": "757-528-8245",
            "fax_number": "757-394-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BREEZEPORT WAY STE 600",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353731",
            "telephone_number": "757-528-8245",
            "fax_number": "757-394-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Godwin Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348152",
            "country_code": "US",
            "telephone_number": "757-528-8245",
            "fax_number": "757-394-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "Y-MINH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizon Residential Service
• Victoria Grace Newbold, BCBA
• Derek G Newsome, SLP
• Next Level Support Services
• Khoi A Nguyen, M.D.
• Benedict Ngwa, NP
• Karen Nicely, LPC
• Kathryn Gwaltney Nicholas, LPC
• Kaylee Nichols, OTD
• Allison Nicholson, PA-C

• Physician Assistant in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.