Individual provider Active NPI

Angela L Nguyen

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1679347140
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3015 Issued in NE
Practice address
1021 N 27TH St
Lincoln, NE 68503-1803
Phone
(402) 476-1455
Fax
(402) 476-1670
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 3015 NE Primary

Addresses

Primary practice location

1021 N 27TH St
Lincoln, NE 68503-1803

Mailing address

1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455

Other practice location 1

3100 N 14th St Ste 201
Lincoln, NE 68521-2134
Phone (402) 476-1455

Other practice location 2

2222 S 16th St Ste 435
Lincoln, NE 68502-3793
Phone (402) 476-1455

Other practice location 3

7480 N 56th St Ste 9
Lincoln, NE 68514-9733
Phone (402) 476-1455

Other practice location 4

2301 O St Ste 2
Lincoln, NE 68510-1100
Phone (402) 476-1455

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address angela.nguyen.p1@bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address angela.nguyen.p1@bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address angela.nguyen.p1@bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address angela.nguyen.p1@bluestemlincoln.nextgenshare.com Bluestem Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20231120000201 NE Practitioner - Physician Assistant 8527416262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestem HealthGroup PAC ID 6800706672, 26 clinicians

Practice addresses (Care Compare)

1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestem Health CurrentSince Dec 1, 2023 Accepting new patients
Bluestem Health Past Accepting new patients

Locations

1021 N 27th St
Lincoln, NE 68503
Phone (402) 476-1640

2301 O St
Ste 2
Lincoln, NE 68510
Phone (402) 441-6642

Interoperability endpoints

  • Direct secure messaging: angela.nguyen.p1@direct.bluestemlincoln.nextgenshare.com

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.

Hospital & facility affiliations 3

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1679347140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N 14th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685212134",
            "country_code": "US",
            "telephone_number": "402-476-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 S 16th St Ste 435",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023793",
            "country_code": "US",
            "telephone_number": "402-476-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7480 N 56th St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685149733",
            "country_code": "US",
            "telephone_number": "402-476-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 O St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685101100",
            "country_code": "US",
            "telephone_number": "402-476-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANGELA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.nguyen.p1@bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2222 S 16th St Ste 435",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.nguyen.p1@bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "3100 N 14th St Ste 201",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685212134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.nguyen.p1@bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2301 O St Ste 2",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685101100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.nguyen.p1@bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "1021 N 27th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685031803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.