Individual provider Active NPI

Andrew Nguyen, APRN, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1689233058
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11002687 Issued in FL
Practice address
880 SW 145TH Ave
Pembroke Pines, FL 33027-6166
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0027475 OH
Family Nurse Practitioner 363LF0000X AP70067732 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11002687 FL Primary
Family Nurse Practitioner 363LF0000X APRN11002687 FL
Family Nurse Practitioner 363LF0000X 0024192044 VA
Family Nurse Practitioner 363LF0000X 1036099 TX
Nurse Practitioner 363L00000X APRN11002687 FL
Family Nurse Practitioner 363LF0000X 357453 NY
Family Nurse Practitioner 363LF0000X 312460 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407328 NY

Addresses

Primary practice location

880 SW 145TH Ave
Pembroke Pines, FL 33027-6166

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

8300 NW 33rd St Ste 400
Doral, FL 33122-1940
Phone (266) 472-4585

Other practice location 2

2900 Exterior St Ste 202
Bronx, NY 10463-7103
Phone (888) 562-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, TX, MA, AZ, VA, CA, NY, WA9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20190730000080 FL Practitioner - Nurse Practitioner 3971839960 Reassigns benefits to 1 organization
I20200918000610 OH Practitioner - Nurse Practitioner 3971839960 Reassigns benefits to 1 organization
I20210503000329 TX Practitioner - Nurse Practitioner 3971839960 Reassigns benefits to 1 organization
I20230216001106 MA Practitioner - Nurse Practitioner 3971839960 Reassigns benefits to 1 organization
I20240916001273 AZ Practitioner - Nurse Practitioner 3971839960
I20250206003314 VA Practitioner - Nurse Practitioner 3971839960
I20250613001803 CA Practitioner - Nurse Practitioner 3971839960 Reassigns benefits to 2 organizations
I20250818003749 NY Practitioner - Nurse Practitioner 3971839960 Reassigns benefits to 2 organizations
I20251229003963 WA Practitioner - Nurse Practitioner 3971839960 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

Practice addresses (Care Compare)

11424 Quiet Forest Dr
Tampa, FL 33635-6242

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312460AZMDFamily Nurse Practitioner
357453NYMDFamily Nurse Practitioner
0027475OHMDFamily Nurse Practitioner
1036099TXMDFamily Nurse Practitioner
AP70067732WAMDFamily Nurse Practitioner
407328NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince Jun 3, 2025 Accepting new patients
Senior Whole Health of New York, Inc CurrentSince Aug 11, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Jun 3, 2025 Accepting new patients
Molina Healthcare of New York, Inc. Nurse Practitioner CurrentSince Aug 11, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Dec 15, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

2900 Exterior St
Ste 202
Bronx, NY 10463
Phone (607) 238-5357

15 Metrotech Ctr
Fl 11
Brooklyn, NY 11201
Phone (718) 923-7100

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

22522 29th Dr SE
#L210
Bothell, WA 98021
Phone (509) 774-7874

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: anguyen10002@direct-prd.molinahealthcare.com

Organizations & group practices 7

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1689233058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276166",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 NW 33rd St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221940",
            "country_code": "US",
            "telephone_number": "266-472-4585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Exterior St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104637103",
            "country_code": "US",
            "telephone_number": "888-562-5442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANDREW",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027475",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70067732",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11002687",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192044",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1036099",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "312460",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.