Individual provider Active NPI

Mi Thao Nguyen

  • Physician Assistant
  • Arvada, CO
National Provider Identifier
1669210423
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10280 W 55TH Ave
Arvada, CO 80002-4925
Phone
(303) 914-6048
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X CO
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10280 W 55TH Ave
Arvada, CO 80002-4925

Mailing address

9791 W Rice Ave
Littleton, CO 80123-2012
Phone (720) 285-9639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260126001574 CO Practitioner - Physician Assistant 3971080557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Brain and Spine Institute, PLLCGroup PAC ID 2769488329, 11 clinicians

Practice addresses (Care Compare)

1411 S Potomac St
Suite 450
Aurora, CO 80012-4544
Phone (303) 783-8844

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Brain & Spine Institute, PLLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

1411 S Potomac St
Ste 450
Aurora, CO 80012
Phone (303) 695-4800

3501 S Clarkson St
Englewood, CO 80113
Phone (303) 594-7102

500 E Hampden Ave
Ste 200
Englewood, CO 80113

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19890/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1669210423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9791 W RICE AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232012",
            "telephone_number": "720-285-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 W 55TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800024925",
            "telephone_number": "303-914-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MI THAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.