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

Ly Khanh Nguyen

Individual provider Medical-Surgical Registered Nurse · NPI 1497573067

Ly Khanh Nguyen is a Nurse Practitioner in Quincy, Massachusetts. Qualified in 2024, 2 years ago. Practices with Revere Medical of Massachusetts PC, a 113-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

188 Quincy Ave Unit B2
Quincy, MA 02169-6774
Phone: (857) 381-9500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2344751 (MA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence R2344751 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497573067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Revere Medical Of Massachusetts Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Quincy