Individual provider Active NPI

Duyen Thi My Nguyen, NP-C

  • Adult Health Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1629464631
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2015008081 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 1250
North Kansas City, MO 64116-3260
Phone
(816) 421-3700
Fax
(816) 421-1654
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2015008081 MO Primary
Adult Health Nurse Practitioner 363LA2200X 53-76748-111 KS
Gerontology Nurse Practitioner 363LG0600X 2015008081 MO
Gerontology Nurse Practitioner 363LG0600X 53-76748-111 KS
Primary Care Nurse Practitioner 363LP2300X 2015008081 MO
Primary Care Nurse Practitioner 363LP2300X 53-76748-111 KS

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 1250
North Kansas City, MO 64116-3260

Mailing address

2790 Clay Edwards Dr Ste 1250
North Kansas City, MO 64116-3260
Phone (816) 421-3700

Other identifiers 1

IdentifierTypeStateIssuer
P01586153OtherMORAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150731014359 MO Practitioner - Nurse Practitioner 4082933833 Reassigns benefits to 1 organization
I20220223000149 KS Practitioner - Nurse Practitioner 4082933833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

16950 W 86TH St
Lenexa, KS 66219-4506
Phone (913) 676-8500

9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2000

929 N Saint Francis Ave
HMP of TX PLLC
Wichita, KS 67214-3821
Phone (316) 291-4396

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
  • Saint John Hospital Hospital, Leavenworth, KS, CCN 170009

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015008081MOMDGerontology Nurse Practitioner
53-76748-111KSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Apr 1, 2024 Accepting new patients
P&C Healthcare LLC CurrentSince Jun 1, 2023 Accepting new patients
P & C Consultant Services Past Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1629464631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 1250",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163260",
            "telephone_number": "816-421-3700",
            "fax_number": "816-421-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 1250",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163260",
            "telephone_number": "816-421-3700",
            "fax_number": "816-421-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUYEN",
        "middle_name": "THI MY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015008081",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-76748-111",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2015008081",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-76748-111",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2015008081",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-76748-111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P01586153",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.