Individual provider Active NPI

Nguyen-Vinh Anthony Tran, NP

  • Acute Care Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1194524793
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11037429 Issued in FL
Practice address
4391 Star Ruby Blvd
Boynton Beach, FL 33436-1611
Phone
(561) 876-5666
NPI assigned
Mar 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11037429 FL Primary

Addresses

Primary practice location

4391 Star Ruby Blvd
Boynton Beach, FL 33436-1611

Mailing address

4391 Star Ruby Blvd
Boynton Beach, FL 33436-1611
Phone (561) 876-5666

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
I20250808001296 FL Practitioner - Nurse Practitioner 2466950514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Critical Care Associates LLCGroup PAC ID 6608186317, 27 clinicians

Practice addresses (Care Compare)

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11037429FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Critical Care Associates, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

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.

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1194524793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 STAR RUBY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361611",
            "telephone_number": "561-876-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 STAR RUBY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361611",
            "telephone_number": "561-876-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "NGUYEN-VINH",
        "middle_name": "ANTHONY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11037429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.