Individual provider Active NPI

Jessica Nguyen, RN, APRN, FNP-C

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1780832881
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023750 Issued in FL
Practice address
21644 State Road 7
Boca Raton, FL 33428-1842
Phone
(561) 488-8000
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 11023750 FL Primary

Addresses

Primary practice location

21644 State Road 7
Boca Raton, FL 33428-1842

Mailing address

21644 State Road 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

Other identifiers 1

IdentifierTypeStateIssuer
02740141MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230914004159 FL Practitioner - Nurse Practitioner 3678937265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Practice addresses (Care Compare)

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023750FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medicine Services, LLC. CurrentSince Sep 15, 2023 Accepting new patients
First Docs PC CurrentSince Aug 1, 2024 Accepting new patients
Swallowing Diagnostics Inc CurrentSince Feb 9, 2024 Accepting new patients
The Fortune Society PastSince Sep 5, 2021 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

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.

Hospital & facility affiliations 1

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1780832881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21644 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281842",
            "telephone_number": "561-488-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21644 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281842",
            "telephone_number": "561-488-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JESSICA",
        "credential": "RN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02740141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.