Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Nguyen, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568119154

Diane Nguyen, PA-C is a Physician Assistant in Provo, Utah. Graduated from University of Utah School of Medicine in 2023, 3 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
3
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1055 N 500 W Ste 212 Bldg C
Provo, UT 84604
Phone: (801) 374-2362
Fax: (801) 429-8050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 N Medical Dr, Salt Lake City, UT 84132-0001 — (909) 362-9512

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13595780-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568119154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2022
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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