Active NPI
Rachel Lu Nguyen, PA-C
- Physician Assistant
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14661
- Practice address
- 845 Vikings Pkwy Ste B
Eagan, MN 55121-1139 - Phone
- (888) 938-3838
- Fax
- (888) 919-1083
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14661 | MN | Primary |
Addresses
Primary practice location
845 Vikings Pkwy Ste B
Eagan, MN 55121-1139
Mailing address
10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4365 Pheasant Ridge Dr NE
Suite 106
Blaine, MN 55449-4544
Phone (888) 938-3838
6640 Shady Oak Rd
Suite 255
Eden Prairie, MN 55344-7710
Phone (888) 938-3838
8401 Seasons Pkwy
Suite 300
Woodbury, MN 55125-3476
Phone (888) 938-3838
845 Vikings Pkwy
Suite B
Eagan, MN 55121-1139
Phone (888) 938-3838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14661 | MN | MD | Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1053196022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 W INNOVATION DR STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264851",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 VIKINGS PKWY STE B",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211139",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "RACHEL",
"middle_name": "LU",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.