Active NPI
Aline Ma Nguyen, PA-C
- Surgical Physician Assistant
- Arlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA61096971
- Practice address
- 875 Wesley St Ste 230
Arlington, WA 98223-1668 - Phone
- (360) 435-6097
- Fax
- (360) 435-1871
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61096971 | WA | |
| Medical Physician Assistant | 363AM0700X | PA61096971 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA61096971 | WA | Primary |
Addresses
Primary practice location
875 Wesley St Ste 230
Arlington, WA 98223-1668
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Other practice location 1
3823 172nd St NE
Arlington, WA 98223-7735
Phone (360) 435-6097
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anguyen30878@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750
330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 435-2133
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61096971 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
328 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133
875 Wesley St
Ste 230
Arlington, WA 98223
Phone (206) 435-6097
3823 172nd St NE
Arlington, WA 98223
Phone (360) 618-5000
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Interoperability endpoints
- anguyen30878@skagit.direct-ci.com
Organizations & group practices 4
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.
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba Skagit Regional Health - Arlington Women's Health
- Obstetrics & Gynecology Physician
- Arlington, WA
- NPI 1073554903
-
dba Skagit Regional Health - Mount Vernon Physical Therapy
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cascade Valley Hospital
- General Acute Care Hospital
- Arlington, WA
- NPI 1073566246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1659920999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WESLEY ST STE 230",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231668",
"telephone_number": "360-435-6097",
"fax_number": "360-435-1871"
}
],
"practiceLocations": [
{
"address_1": "3823 172nd St NE",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "WA",
"postal_code": "982237735",
"country_code": "US",
"telephone_number": "360-435-6097",
"fax_number": "360-435-1871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ALINE",
"middle_name": "MA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61096971",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA61096971",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61096971",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anguyen30878@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "875 Wesley St Ste 230",
"city": "Arlington",
"state": "WA",
"country_code": "US",
"postal_code": "982231668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.