Individual provider Active NPI

Darlene Nguyen, PA-C

  • Physician Assistant
  • Sykesville, MD
National Provider Identifier
1710620679
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009351 Issued in MD
Practice address
5965 Exchange Dr Ste a-B
Sykesville, MD 21784-9254
Phone
(410) 552-8126
Fax
(443) 458-7220
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 C0009351 MD Primary

Addresses

Primary practice location

5965 Exchange Dr Ste a-B
Sykesville, MD 21784-9254

Mailing address

5965 Exchange Dr Ste a-B
Sykesville, MD 21784-9254
Phone (410) 552-8126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240709001125 MD Practitioner - Physician Assistant 1153866637 Reassigns benefits to 2 organizations

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
Lauring Dermatology LLCGroup PAC ID 4082913710, 4 clinicians

Practice addresses (Care Compare)

415 Williams CT
Suite 116
Middle River, MD 21220-2896
Phone (410) 665-3093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Wilbur Kuo & Associates Internal Medicine LLC CurrentSince Jul 15, 2024 Accepting new patients
Lauring Dermatology LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

415 Williams Ct
Ste 116
Middle River, MD 21220
Phone (410) 665-3093

5965 Exchange Dr
Ste Ab
Sykesville, MD 21784
Phone (410) 552-8126

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1710620679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 EXCHANGE DR STE A-B",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849254",
            "telephone_number": "410-552-8126",
            "fax_number": "443-458-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 EXCHANGE DR STE A-B",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849254",
            "telephone_number": "410-552-8126",
            "fax_number": "443-458-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DARLENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.