Individual provider Active NPI

Paulina Nguyen, FNP-BC

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1598592016
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1053571 Issued in TX
Practice address
1103 Rivery Blvd # 145
Georgetown, TX 78628-3034
Phone
(512) 572-4905
Fax
(512) 782-9316
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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 AP1053571 TX Primary

Addresses

Primary practice location

1103 Rivery Blvd # 145
Georgetown, TX 78628-3034

Mailing address

1845 W University Ave Apt 7206
Georgetown, TX 78628-1929

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
I20241106001621 TX Practitioner - Nurse Practitioner 6406380997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians
Ivx Health of Texas PAGroup PAC ID 6507209129, 22 clinicians

Practice addresses (Care Compare)

1103 Rivery Blvd
Suite 145
Georgetown, TX 78628-3034
Phone (512) 572-4905

1400 E Whitestone Blvd
Suite 400
Cedar Park, TX 78613-9088
Phone (512) 684-3801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1053571TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC CurrentSince Oct 18, 2024 Accepting new patients
Ivx Health of Texas P.a. CurrentSince Jan 9, 2026 Accepting new patients

Locations

10515 N Mopac Expy
Ste A130
Austin, TX 78759
Phone (512) 772-2804

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

500 Canyon Ridge Dr
Ste B300
Austin, TX 78753
Phone (512) 200-2369

10515 N Mopac Expy
Ste A129
Austin, TX 78759
Phone (512) 772-2804

1400 E Whitestone Blvd
Ste 400
Cedar Park, TX 78613
Phone (512) 640-5200

1103 Rivery Blvd
#145
Georgetown, TX 78628
Phone (512) 572-4905

2324 FM 685
Ste 100
Pflugerville, TX 78660
Phone (512) 861-2110

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

2324 Marketplace Dr
Ste 200
Waco, TX 76711
Phone (254) 343-7887

Organizations & group practices 2

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1598592016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W UNIVERSITY AVE APT 7206",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 RIVERY BLVD # 145",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283034",
            "telephone_number": "512-572-4905",
            "fax_number": "512-782-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PAULINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1053571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.