Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568119154 Individual Practitioner Female Practitioner

Diane Nguyen , PA-C

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Diane Nguyen, PA-C is a certified Physician Assistant practicing in Provo, UT. With approximately 3 years of clinical experience since graduating from University Of Utah School Of Medicine in 2023, Diane Nguyen delivers high-quality medical care to the local community at 1055 N 500 W.

Diane Nguyen is affiliated with Revere Health Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Ste 212 Bldg C

Provo, UT 84604

Telephone 8013742362
Fax 8014298050
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nguyen (3 Years) 3 Yrs
Provo Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 13595780-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8013742362

Secondary Practice Locations

50 N Medical Dr

Salt Lake City, UT 841320001

Phone: 9093629512

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Merilee Jacobson , FNP

Nurse Practitioner - Family

NPI 1003656018

Family Nurse Practitioner

Valynn Haslam , FNP

Nurse Practitioner - Family

NPI 1093220386

Family Nurse Practitioner

Clarene Hansen , FNP

Nurse Practitioner

NPI 1114985553

Family Nurse Practitioner

Dr. Christine Foster , MD

Internal Medicine

NPI 1205875747

Doctor of Medicine (M.D.)

Dr. John Staheli , MD

Internal Medicine - Sleep Medicine

NPI 1275591620

Doctor of Medicine (M.D.)

Dr. Jeffrey Johnson , MD

Internal Medicine

NPI 1285692400

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 04, 2025

Registered at 1055 N 500 W, STE 212 BLDG C, PROVO, UT 84604 (Tel: 8013742362)

📍
Updated Business Mailing Address February 04, 2025

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604 (Tel: 8013548225)

📍
Updated Practice Location March 04, 2024

Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001 (Tel: 9093629512)

📍
Updated Business Mailing Address October 16, 2023

Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001

👤
Provider Name / Credentials Updated October 16, 2023

Recorded as DIANE NGUYEN, PA-C

NPI Profile Active March 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2022

Registered at 7820 LA MONICA ST, HIGHLAND, CA 923466356 (Tel: 9093629512)

📍
Updated Business Mailing Address March 03, 2022

Registered at 7820 LA MONICA ST, HIGHLAND, CA 923466356

👤
Provider Name / Credentials Updated March 03, 2022

Recorded as DIANE NGUYEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568119154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2022
Last Update: February 04, 2025
Sole Proprietor: No

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 84604

Phone: 8013548225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.