Individual provider Active NPI

Tien Q Nguyen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Scott, KS
National Provider Identifier
1730711250
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
79275 Issued in KS
Practice address
2322 S Main St
Fort Scott, KS 66701-3026
Phone
(620) 231-9873
NPI assigned
Feb 12, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 79275 KS Primary

Addresses

Primary practice location

2322 S Main St
Fort Scott, KS 66701-3026

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 231-9873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200305000479 KS Practitioner - Nurse Practitioner 0648607572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11155 Tucker Rd
Pleasanton, KS 66075-8401
Phone (913) 352-8379

203 N Kentucky St
Iola, KS 66749-2527
Phone (888) 777-9170

2051 N State St
Iola, KS 66749-1677
Phone (620) 380-6600

2322 S Main St
Fort Scott, KS 66701-3026
Phone (622) 022-3804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79275KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Mar 9, 2020 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Mar 9, 2020 Accepting new patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Community Health Center of Southeast Kansas, Inc. Past Accepting new patients

Locations

601 E Washington St
Arma, KS 66712
Phone (620) 347-4033

2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-8040

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203

2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

Interoperability endpoints

  • Direct secure messaging: tien.nguyen@chcsek.eclinicaldirectplus.com

Organizations & group practices 4

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1730711250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "620-231-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013026",
            "telephone_number": "620-231-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIEN",
        "middle_name": "Q",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "79275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.