Individual provider Active NPI

Linh T Nguyen, PA-C

  • Physician Assistant
  • Lee's Summit, MO
National Provider Identifier
1619303658
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2014027710 Issued in MO
Practice address
276 NE Tudor Rd
Lee's Summit, MO 64086-5696
Phone
(816) 525-8500
Fax
(816) 525-0185
NPI assigned
Sep 23, 2013
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2014027710 MO Primary

Addresses

Primary practice location

276 NE Tudor Rd
Lee's Summit, MO 64086-5696

Mailing address

276 NE Tudor Rd
Lee's Summit, MO 64086-5696
Phone (816) 525-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20141013000840 MO Practitioner - Physician Assistant 9133357916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lees Summit Dermatology Associates I PCGroup PAC ID 0446355317, 4 clinicians

Practice addresses (Care Compare)

276 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone (816) 525-8500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2014027710MOMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: lnguyen@directaddress.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1619303658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NE TUDOR RD",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-525-8500",
            "fax_number": "816-525-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NE TUDOR RD",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-525-8500",
            "fax_number": "816-525-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINH",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014027710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.