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

Mimi Pham Nguyen

Individual provider Physician Assistant · NPI 1508635012

Mimi Pham Nguyen is a Physician Assistant in Springfield, Massachusetts. Qualified in 2024, 2 years ago. Practices with Pulse Primary Care of Massachusetts PLLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

299 Carew St Ste 322
Springfield, MA 01104-2431
Phone: (508) 373-5607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102162 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA102162 (MA)

Record details

NPI number1508635012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2023
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address299 Carew St, Springfield, MA 01104-2301

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pulse Primary Care Of Massachusetts Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Springfield