Individual provider Active NPI

Hai Duc Nguyen, FNP-C

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1346866944
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144893 Issued in TX
Practice address
2965 Harrison St Ste 222
Beaumont, TX 77702-1100
Phone
(409) 892-1003
Fax
(409) 892-2655
NPI assigned
Jun 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144893 TX
Nurse Practitioner 363L00000X AP144893 TX Primary

Addresses

Primary practice location

2965 Harrison St Ste 222
Beaumont, TX 77702-1100

Mailing address

2965 Harrison St Ste 222
Beaumont, TX 77702-1100
Phone (409) 892-1003

Other practice location 1

3748 Meeks Dr Ste B
Orange, TX 77632-4514
Phone (409) 892-1003

Other practice location 2

3406 College St # 100
Beaumont, TX 77701-4612
Phone (409) 813-1677

Other practice location 3

2014 S Wheeler St Ste 300
Jasper, TX 75951-5626
Phone (409) 892-1003

Other practice location 4

3480 College St
Beaumont, TX 77701-4612
Phone (409) 813-1677

Other identifiers 1

IdentifierTypeStateIssuer
1346866944MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hnguyen54886@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210329001354 TX Practitioner - Nurse Practitioner 5294142733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neches Clinic PLLCGroup PAC ID 1456661727, 3 clinicians
Diagnostic Group Integrated Healthcare System, PLLCGroup PAC ID 1557506383, 34 clinicians

Practice addresses (Care Compare)

2965 Harrison St
Suite 222
Beaumont, TX 77702-1100
Phone (409) 892-1003

3480 College St
Beaumont, TX 77701-4612
Phone (409) 813-1677

Hospital & facility affiliations

  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shung-Man Kurt Lee Mdpa CurrentSince Jul 17, 2023 Accepting new patients
Diagnostic Group Integrated Healthcare System PLLC Nurse Practitioner CurrentSince Feb 24, 2021 Accepting new patients
Neches Clinic PLLC CurrentSince Jul 17, 2023 Accepting new patients
Qamar U Arfeen MD PA PastSince Jul 1, 2023 Accepting new patients

Locations

4816 East Chase St
Baytown, TX 77521
Phone (281) 421-4108

3406 College St
#100
Beaumont, TX 77701
Phone (409) 622-1424

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

2965 Harrison Ave
#222
Beaumont, TX 77702

2965 Harrison Ave
Ste 222
Beaumont, TX 77702

3480 College St
Beaumont, TX 77701
Phone (409) 212-5480

3406 College St
Beaumont, TX 77701
Phone (409) 730-2031

2014 S Wheeler St
Ste 300
Jasper, TX 75951
Phone (409) 384-2711

930 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-4200

288 Country Lane Dr
Lumberton, TX 77657
Phone (409) 227-4413

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

3748 Meeks Dr
Ste B
Orange, TX 77632

Interoperability endpoints

  • Direct secure messaging: hnguyen54886@direct.acumenmd.com
  • FHIR API: https://api.platform.athenahealth.com/22304/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 3

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1346866944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST STE 222",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021100",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST STE 222",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021100",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3748 Meeks Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776324514",
            "country_code": "US",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3406 College St # 100",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2014 S Wheeler St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759515626",
            "country_code": "US",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3480 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "409-813-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAI",
        "middle_name": "DUC",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144893",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346866944",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hnguyen54886@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "3748 Meeks Dr Ste B",
            "city": "Orange",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776324514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.