Individual provider Active NPI

Hoang James Tuan Nguyen, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1528698693
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143932 Issued in TX
Practice address
3560 Delaware St Ste 1104
Beaumont, TX 77706-3000
Phone
(409) 347-8870
Fax
(409) 347-8878
NPI assigned
Jan 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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 AP143932 TX Primary

Addresses

Primary practice location

3560 Delaware St Ste 1104
Beaumont, TX 77706-3000

Mailing address

105 Acadian Garden Blvd
Bridge City, TX 77611-3456
Phone (409) 460-8540

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
I20210311000445 TX Practitioner - Nurse Practitioner 7214343599 Reassigns benefits to 1 organization

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
Mid County Medical Group PAGroup PAC ID 6305875923, 7 clinicians

Practice addresses (Care Compare)

1132 Atlanta Ave
Nederland, TX 77627-4145
Phone (409) 344-4466

Hospital & facility affiliations

  • The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143932TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid County Medical Group PA Family CurrentSince May 9, 2023 Accepting new patients

Locations

2501 Jimmy Johnson Blvd
Ste 110A
Port Arthur, TX 77640
Phone (409) 344-4466

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

Interoperability endpoints

  • Direct secure messaging: hoang.james.nguyen.1@19036.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1528698693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ACADIAN GARDEN BLVD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113456",
            "telephone_number": "409-460-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 1104",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063000",
            "telephone_number": "409-347-8870",
            "fax_number": "409-347-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG JAMES",
        "middle_name": "TUAN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.