Hong-Van Nguyen, MD

Individual provider Active NPI Pediatrics Physician · Wynne, AR

NPI 1205464286 · NPPES record last updated Sep 5, 2025

Key facts

NPI
1205464286
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
E-16525 (AR)
Practice address
1920 Falls Blvd N
Wynne, AR 72396-4027
Phone
(501) 364-1874
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230730000044 AR Practitioner - Pediatric Medicine 2062835747 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-16525ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Family Medicine, LLC Current
since Jul 25, 2023
Accepting new patients
Harmony Health Clinic Wynne, PLLC Current
since Jul 1, 2023
Accepting new patients
Harmony Health Clinic Wynne, PLLC Current
since Jul 1, 2023
Accepting new patients

Locations

924 State Highway 77
Marion, AR 72364
Phone (870) 739-5310

1920 Falls Blvd N
Wynne, AR 72396
Phone (870) 587-0800

Interoperability endpoints

  • Direct secure messaging: hnguyen583018@direct.bmhcc.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-16525 AR Yes

Addresses

Primary practice location

1920 Falls Blvd N
Wynne, AR 72396-4027

Mailing address

1920 Falls Blvd N
Wynne, AR 72396-4027
Phone (870) 587-0800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 5, 2025.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1205464286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964027",
            "telephone_number": "870-587-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964027",
            "telephone_number": "501-364-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HONG-VAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-16525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

All providers in Wynne, AR · Pediatrics Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.