Individual provider Active NPI

Jessica Jean Nguyen, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1174238018
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
285817 Issued in AZ
Practice address
1450 S Dobson Rd Ste B122
Mesa, AZ 85202-4741
Phone
(480) 580-2001
Fax
(602) 324-2308
NPI assigned
Jan 16, 2023
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 285817 AZ Primary

Addresses

Primary practice location

1450 S Dobson Rd Ste B122
Mesa, AZ 85202-4741

Mailing address

3587 E Kaibab PL
Chandler, AZ 85249-5481
Phone (480) 215-6391

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jessica.Nguyen@bannerhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230315002548 AZ Practitioner - Nurse Practitioner 3072987965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yadwinder S Dhillon MD PC CurrentSince Feb 1, 2023 Accepting new patients
Arizona Advanced Surgery LLC CurrentSince Dec 1, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 16, 2025 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Sep 16, 2025 Accepting new patients
Honorhealth Ambulatory Family Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

4915 E Baseline Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 292-8542

1450 S Dobson Rd
Ste B122
Mesa, AZ 85202
Phone (480) 580-2001

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

1012 E Willetta St
Phoenix, AZ 85006
Phone (602) 239-6040

19636 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (623) 516-4400

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD
  • Direct secure messaging: jessica.nguyen@bannerhealth.com
  • Direct secure messaging: jnguyen434874@direct.honorhealth.com

Organizations & group practices 7

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 5

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1174238018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 E KAIBAB PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495481",
            "telephone_number": "480-215-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD STE B122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024741",
            "telephone_number": "480-580-2001",
            "fax_number": "602-324-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "285817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jessica.Nguyen@bannerhealth.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1450 S Dobson Rd Ste B122",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852024741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.