Individual provider Active NPI

Nelson Tang Nguyen, FNP-BC

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1215418827
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9269122 Issued in FL
Practice address
6400 W Newberry Rd Ste 210
Gainesville, FL 32605-6602
Phone
(352) 331-3583
Fax
(352) 331-3669
NPI assigned
Aug 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 9269122 FL Primary

Addresses

Primary practice location

6400 W Newberry Rd Ste 210
Gainesville, FL 32605-6602

Mailing address

2405 SE 17TH St Ste 201
Ocala, FL 34471-9190
Phone (352) 690-2171

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
I20181030000168 FL Practitioner - Nurse Practitioner 1254684863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25365 W Newberry Rd
Newberry, FL 32669-4253
Phone (352) 472-2275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9269122FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgical Associates LLC CurrentSince Dec 10, 2019 Accepting new patients
Nguyen Family Practice LLC Family CurrentSince Nov 1, 2021 Accepting new patients
West Florida Specialty Physicians LLC PastSince Dec 10, 2019 Accepting new patients

Locations

6400 W Newberry Rd
Ste 210
Gainesville, FL 32605

1121 NW 64th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-6777

25365 W Newberry Rd
Newberry, FL 32669
Phone (352) 472-2274

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

Hospital & facility affiliations 8

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1215418827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SE 17TH ST STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719190",
            "telephone_number": "352-690-2171",
            "fax_number": "352-690-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD STE 210",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056602",
            "telephone_number": "352-331-3583",
            "fax_number": "352-331-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NELSON",
        "middle_name": "TANG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9269122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.