Individual provider Active NPI

Quyen Mong Nguyen, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1538894142
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8321
Phone
(225) 256-5888
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 Primary

Addresses

Primary practice location

1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8321

Mailing address

7250 Perkins Rd Apt 834
Baton Rouge, LA 70808-9197
Phone (337) 781-0438

Other identifiers 1

IdentifierTypeStateIssuer
332733OtherLALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20221006000018 LA Practitioner - Physician Assistant 1456737972 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Stick Emergency Group LLCGroup PAC ID 2062583578, 33 clinicians
Sherwood Urgent Care LLCGroup PAC ID 2365853322, 3 clinicians

Practice addresses (Care Compare)

14105 Hwy 73
Suite 100
Prairieville, LA 70769-3626
Phone (225) 402-2600

1818 S Sherwood Forest Blvd
Baton Rouge, LA 70816-8321
Phone (225) 256-5888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Urgent Care Ascension LLC CurrentSince Nov 3, 2022 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Nov 3, 2022 Accepting new patients
Red Stick Emergency Group LLC CurrentSince Oct 11, 2025 Accepting new patients
Convenient Care LLC CurrentSince Nov 3, 2022 Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

14105 Highway 73
#100
Prairieville, LA 70769
Phone (225) 402-2600

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Organizations & group practices 6

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1538894142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 PERKINS RD APT 834",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089197",
            "telephone_number": "337-781-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168321",
            "telephone_number": "225-256-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUYEN",
        "middle_name": "MONG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "332733",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.