Individual provider Active NPI

Nadine N Nguyen, APN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1104165802
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11011917 Issued in FL
Practice address
2101 Park Center Dr
Orlando, FL 32835-7626
Phone
(321) 842-9036
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.009659 IL
Nurse Practitioner 363L00000X APRN11011917 FL
Adult Health Nurse Practitioner 363LA2200X APRN11011917 FL Primary

Addresses

Primary practice location

2101 Park Center Dr
Orlando, FL 32835-7626

Mailing address

2101 Park Center Dr
Orlando, FL 32835-7626
Phone (321) 842-9036

Other practice location 1

550 Redstone Ave W Ste 370
Crestview, FL 32536-6429
Phone (504) 239-9768

Other practice location 2

400 Redstone Ave W
Crestview, FL 32536-8467
Phone (850) 683-1555

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nadine.nguyen1@1523.direct.athenahealth.com
Other URL EPic Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709001893 FL Practitioner - Nurse Practitioner 6507085727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

2101 Park Ctr Dr
Suite 130
Orlando, FL 32835-7611
Phone (407) 650-1300

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.009659ILMDNurse Practitioner
APRN11011917FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crestview Hospital Company, LLC CurrentSince Jul 6, 2021 Accepting new patients
North Okaloosa Clinic Corp Nurse Practitioner CurrentSince Jul 6, 2021 Accepting new patients
Crestview Hospital Company LLC Adult Health CurrentSince Jul 6, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
North Okaloosa Clinic Corp CurrentSince Jul 6, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients

Locations

550 Redstone Ave W
Ste 370
Crestview, FL 32536
Phone (850) 682-2209

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

550 Redstone Ave W
Ste 390
Crestview, FL 32536
Phone (850) 682-0077

400 Redstone Ave W
Crestview, FL 32536
Phone (850) 683-1555

1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2101 Park Center Dr
Orlando, FL 32835
Phone (321) 842-9036

2101 Park Center Dr
Ste 130
Orlando, FL 32835
Phone (407) 297-0080

330 Franklin Rd
Ste 135A
Brentwood, TN 37027
Phone (615) 727-0177

Interoperability endpoints

  • Direct secure messaging: nadine.nguyen1@1523.direct.athenahealth.com
  • Direct secure messaging: nnguyen16785@uihealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1104165802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PARK CENTER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357626",
            "telephone_number": "321-842-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PARK CENTER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357626",
            "telephone_number": "321-842-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Redstone Ave W Ste 370",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325366429",
            "country_code": "US",
            "telephone_number": "504-239-9768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Redstone Ave W",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325368467",
            "country_code": "US",
            "telephone_number": "850-683-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NADINE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.009659",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011917",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11011917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadine.nguyen1@1523.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR DIRECT ADDRESS",
            "address_1": "550 Redstone Ave W Ste 370",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325366429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPic",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2101 Park Center Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328357626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.