Individual provider Active NPI

Anndy Nguyen, PA-C

  • Physician Assistant
  • Wesley Chapel, FL
National Provider Identifier
1396571832
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119185 Issued in FL
Practice address
2590 Healing Way Ste 220
Wesley Chapel, FL 33543-5496
Phone
(866) 337-4251
Fax
(847) 381-8999
NPI assigned
Sep 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119185 FL Primary

Addresses

Primary practice location

2590 Healing Way Ste 220
Wesley Chapel, FL 33543-5496

Mailing address

2590 Healing Way Ste 220
Wesley Chapel, FL 33543-5496
Phone (866) 337-4251

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://select.nextech-api.com/api
Direct Messaging Address anguyen@directaddress.net

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
I20250407000738 FL Practitioner - Physician Assistant 7416471917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

10114 Gibsonton Dr
Riverview, FL 33578-5305
Phone (847) 381-8899

2590 Healing Way
Suite 220
Wesley Chapel, FL 33543-5496
Phone (847) 381-8899

8875 Hidden River Pkwy
Suite 500
Tampa, FL 33637-2102
Phone (847) 381-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derick Dermatology, PLLC CurrentSince Mar 31, 2025 Accepting new patients
Derick Dermatology, PLLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

10114 Gibsonton Dr
Riverview, FL 33578

5201 W Kennedy Blvd
Ste 950
Tampa, FL 33609

8875 Hidden River Pkwy
Ste 500
Tampa, FL 33637

2590 Healing Way
Ste 220
Wesley Chapel, FL 33543
Phone (866) 337-4251

Interoperability endpoints

  • Direct secure messaging: anguyen1@directaddress.net
  • Direct secure messaging: anguyen@directaddress.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1396571832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 220",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435496",
            "telephone_number": "866-337-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 220",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435496",
            "telephone_number": "866-337-4251",
            "fax_number": "847-381-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANNDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "address_1": "2590 Healing Way Ste 220",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335435496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anguyen@directaddress.net",
            "affiliation": "N",
            "address_1": "2590 Healing Way Ste 220",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335435496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.