Individual provider Active NPI

Jennifer Nguyen, D.O.

  • Internal Medicine Physician
  • Elizabethtown, PA
National Provider Identifier
1447486014
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS016458 Issued in PA
Practice address
418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone
(717) 544-2724
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OT012959 PA
Internal Medicine Physician 207R00000X OS016458 PA Primary
Pediatrics Physician 208000000X OS016458 PA

Addresses

Primary practice location

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320

Mailing address

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130919000225 PA Practitioner - Internal Medicine 9032353727 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, shared by 16 NPIs, 520 clinicians

Practice addresses (Care Compare)

555 N Duke St
Penn Medicine Lancaster General Health Phys
Lancaster, PA 17602-2250
Phone (267) 857-7751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS016458PAMDInternal Medicine Physician
OT012959PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Health - Columbia Center CurrentSince Apr 1, 2016 Accepting new patients
Lancaster General Hospital CurrentSince Sep 9, 2013 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 9, 2013 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 9, 2013 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Hospital CurrentSince Jan 1, 2016 Accepting new patients
Lancaster General Health - Columbia Center Current Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital Internal Medicine CurrentSince Sep 9, 2013 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

418 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-1467

99 Masonic Dr
Ste 101
Elizabethtown, PA 17022
Phone (717) 396-9167

1605 Lititz Pike
Lancaster, PA 17601
Phone (717) 290-7201

690 Good Dr
Fl 2
Lancaster, PA 17601
Phone (717) 544-0700

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3059

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

700 Lancaster Rd
Manheim, PA 17545
Phone (717) 314-0924

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

505 Historic Dr
Strasburg, PA 17579
Phone (717) 464-1957

222 Willow Valley Lakes Dr
Ste 1900
Willow Street, PA 17584
Phone (717) 464-9430

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Interoperability endpoints

  • Direct secure messaging: jnguyendo86910@direct-lghealth.org

Organizations & group practices 12

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1447486014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CLOVERLEAF RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229320",
            "telephone_number": "717-544-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CLOVERLEAF RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229320",
            "telephone_number": "717-544-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT012959",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS016458",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS016458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.