Individual provider Active NPI

Phuong Tran Nha Nguyen, APRN

  • Family Nurse Practitioner
  • Mustang, OK
National Provider Identifier
1295499366
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205728 Issued in OK
Practice address
106 W State Highway 152
Mustang, OK 73064-3902
Phone
(405) 376-3340
Fax
(405) 737-3606
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 205728 OK Primary

Addresses

Primary practice location

106 W State Highway 152
Mustang, OK 73064-3902

Mailing address

106 W State Highway 152
Mustang, OK 73064-3902
Phone (405) 376-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220211001008 OK Practitioner - Nurse Practitioner 1850784075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Health Allset Urgent Care LLCGroup PAC ID 3173972627, 54 clinicians

Practice addresses (Care Compare)

3075 Classen Blvd
Norman, OK 73071-4005
Phone (405) 552-0155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Apr 3, 2023 Accepting new patients
Integris Health Allset Urgent Care LLC CurrentSince Oct 26, 2023 Accepting new patients

Locations

3224 S Broadway
Ste 112
Edmond, OK 73013
Phone (405) 427-4941

1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980

106 W State Highway 152
Mustang, OK 73064
Phone (405) 376-3340

3075 Classen Blvd
Ste 226
Norman, OK 73071

3075 Classen Blvd
Norman, OK 73071
Phone (405) 552-0155

6900 NW 122nd St
Ste 105
Oklahoma City, OK 73142
Phone (405) 427-4943

10740 S May Ave
Ste 113
Oklahoma City, OK 73170
Phone (405) 427-4942

5401 N Pennsylvania Ave
Oklahoma City, OK 73112
Phone (405) 427-4944

Interoperability endpoints

  • Direct secure messaging: pnguyen173440@direct.integrisok.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1295499366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W STATE HIGHWAY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730643902",
            "telephone_number": "405-376-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W STATE HIGHWAY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730643902",
            "telephone_number": "405-376-3340",
            "fax_number": "405-737-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "TRAN NHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "205728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.