Individual provider Active NPI

Jaclyn Ngoc Minh Nguyen, MD

  • Emergency Medicine Physician
  • Round Rock, TX
National Provider Identifier
1033567052
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R9526 Issued in TX
Practice address
300 University Blvd
Round Rock, TX 78665-1032
Phone
(512) 509-0100
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X R9526 TX Primary
Emergency Medicine Physician 207P00000X 203150 CA
Emergency Medicine Physician 207P00000X 35.134440 OH

Addresses

Primary practice location

300 University Blvd
Round Rock, TX 78665-1032

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

909 E Snyder Ave
Montpelier, OH 43543-1251
Phone (419) 485-3154

Other practice location 2

433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131

Other practice location 3

2213 Cherry St
Toledo, OH 43608-2603
Phone (260) 494-9006

Other practice location 4

3201 S Water St
Burnet, TX 78611-4510
Phone (260) 494-9006

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnguyen1416411@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, WA, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180817000922 OH Practitioner - Emergency Medicine 1850640228 Reassigns benefits to 4 organizations
I20190508002053 TX Practitioner - Emergency Medicine 1850640228 Reassigns benefits to 7 organizations
I20251009002262 WA Practitioner - Emergency Medicine 1850640228 Reassigns benefits to 1 organization
I20260402001923 CA Practitioner - Emergency Medicine 1850640228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203150CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Jul 26, 2019 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Feb 4, 2019 Accepting new patients
Austin Critical Care Specialists PA CurrentSince Mar 1, 2020 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Austin Critical Care Specialists PA CurrentSince Mar 1, 2020 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Nov 25, 2024 Accepting new patients
Scott & White Hospital - Taylor Current Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Apr 17, 2025 Accepting new patients
Scott & White Hospital - Taylor CurrentSince Jan 14, 2026 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Apr 9, 2019 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Scott & White Hospital - Taylor Emergency Medicine CurrentSince Apr 17, 2025 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine CurrentSince Feb 4, 2019 Accepting new patients
Samaritan Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations (25 of 31)

200 Corporate Blvd
Lafayette, LA 70508

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200

900 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 684-4000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

Interoperability endpoints

  • Direct secure messaging: jnguyen1416411@direct.sw.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1033567052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "512-509-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 E Snyder Ave",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "OH",
            "postal_code": "435431251",
            "country_code": "US",
            "telephone_number": "419-485-3154",
            "fax_number": "419-636-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 W High St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435061690",
            "country_code": "US",
            "telephone_number": "419-636-1131",
            "fax_number": "419-636-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "260-494-9006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Water St",
            "address_purpose": "LOCATION",
            "city": "Burnet",
            "state": "TX",
            "postal_code": "786114510",
            "country_code": "US",
            "telephone_number": "260-494-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JACLYN",
        "middle_name": "NGOC MINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R9526",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "203150",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.134440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnguyen1416411@direct.sw.org",
            "affiliation": "N",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.