Amanda My-Vy Nguyen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007183RX Issued in OH

Practice address

1712 Race St
Cincinnati, OH 45202-3906

Phone

(513) 381-2247

Fax

(513) 381-1459

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Community Health ServicesGroup PAC ID 7517966211, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.nguyen.1@15558.direct.athenahealth.com

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.

• Christian Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1598719361
  Medicare reassignment Care Compare group NPD (past)
• Christian Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1396079109
  NPD (past)
• Christian Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Harrison, OH
  • NPI 1639574148
  NPD (past)
• Christian Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1811446834
  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1043973530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 RACE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452023906",
            "telephone_number": "513-381-2247",
            "fax_number": "513-381-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 RACE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452023906",
            "telephone_number": "513-381-2247",
            "fax_number": "513-381-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AMANDA",
        "middle_name": "MY-VY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007183RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0484482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard Ngongang, DO
• Monica Ngocman Ngu, MD
• Nguyen Dentists of Eastgate, PC, Inc
• Nguyen Oakley Dental Group PC. Inc
• Alexander Hieu Nguyen, DO
• Andrew Baoloc Nguyen, M.D.
• Anh Quan Tran Nguyen, MD
• Binh Thai Nguyen, MD
• Brave K Nguyen, D.O.
• Cuong Van Nguyen, D.C.

• Physician Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.