Individual provider Active NPI

Ai-Chau Hang Nguyen

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1457899338
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005045 Issued in AR
Practice address
5428 Ellsworth Rd
Fort Smith, AR 72903-3220
Phone
(479) 709-7440
Fax
(479) 709-7441
NPI assigned
Feb 10, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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 A005045 AR Primary

Addresses

Primary practice location

5428 Ellsworth Rd
Fort Smith, AR 72903-3220

Mailing address

PO Box 11449
Belfast, ME 04915-4005
Phone (479) 709-1924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170516001176 AR Practitioner - Nurse Practitioner 6709163082 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Partners of Arkansas LLCGroup PAC ID 2668919812, 28 clinicians

Practice addresses (Care Compare)

200 River Market Ave
Suite 100
Little Rock, AR 72201-1762
Phone (501) 267-9870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005045ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care Professionals, LLC CurrentSince Jul 1, 2021 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 17, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 17, 2025 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Jul 12, 2021 Accepting new patients
SHC Medical Partners of Arkansas, LLC CurrentSince Aug 8, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 17, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 17, 2025 Accepting new patients

Locations

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1457899338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11449",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "479-709-1924",
            "fax_number": "479-709-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 ELLSWORTH RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033220",
            "telephone_number": "479-709-7440",
            "fax_number": "479-709-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AI-CHAU",
        "middle_name": "HANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.