Individual provider Active NPI

Victoria Nguyen, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1114542909
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TEP8737 Issued in NE
Practice address
4600 Valley Rd Ste 200
Lincoln, NE 68510-4882
Phone
(402) 483-4571
NPI assigned
Jun 8, 2020
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TEP8737 NE Primary

Addresses

Primary practice location

4600 Valley Rd Ste 200
Lincoln, NE 68510-4882

Mailing address

4600 Valley Rd
Lincoln, NE 68510-4855
Phone (402) 483-4571

Other identifiers 1

IdentifierTypeStateIssuer
470553011-00MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.nguyen.1@9271.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230822003303 NE Practitioner - Family Practice 6406275635 Reassigns benefits to 1 organization
I20240217000770 TX Practitioner - Family Practice 6406275635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

1926 SW Green Oaks Blvd
Arlington, TX 76017-2735
Phone (817) 472-5522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEP8737NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Family Medicine CurrentSince Sep 4, 2023 Accepting new patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince Apr 6, 2024 Accepting new patients

Locations

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

1300 S Fielder Rd
Arlington, TX 76013
Phone (817) 277-2221

1926 SW Green Oaks Blvd
Arlington, TX 76017
Phone (817) 200-7088

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

8277 Belleview Dr
Plano, TX 75024
Phone (214) 291-5087

Interoperability endpoints

  • Direct secure messaging: victoria.nguyen.1@30724.direct.athenahealth.com
  • Direct secure messaging: victoria.nguyen.1@9271.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1114542909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 VALLEY RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104855",
            "telephone_number": "402-483-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 VALLEY RD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104882",
            "telephone_number": "402-483-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "TEP8737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470553011-00",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.nguyen.1@9271.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4600 Valley Rd Ste 200",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685104882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.