Individual provider Active NPI

Anne P Nguyen, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1801351978
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-007718 Issued in VA
Practice address
4933 Tamiami Trail N
Suite 200
Naples, FL 34103-3028
Phone
(727) 291-9538
Fax
(727) 293-5154
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA031960 DC
Physician Assistant 363A00000X PA9112215 FL
Physician Assistant 363A00000X C0007125 MD
Physician Assistant 363A00000X 0110-007718 VA Primary

Addresses

Primary practice location

4933 Tamiami Trail N
Suite 200
Naples, FL 34103-3028

Mailing address

2504 N Highland Ave
Tampa, FL 33602-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, CA, PA, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190909002859 FL Practitioner - Physician Assistant 8123367596 Reassigns benefits to 3 organizations
I20220627002401 DC Practitioner - Physician Assistant 8123367596 Reassigns benefits to 2 organizations
I20230816003629 CA Practitioner - Physician Assistant 8123367596 Reassigns benefits to 1 organization
I20240131002161 PA Practitioner - Physician Assistant 8123367596 Reassigns benefits to 1 organization
I20240215004420 VA Practitioner - Physician Assistant 8123367596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goyal Medpsych IncGroup PAC ID 3375978984, 25 clinicians
Thriving LaneGroup PAC ID 1355741083, 24 clinicians

Practice addresses (Care Compare)

2110 Gallows Rd
Suite D
Vienna, VA 22182-3962
Phone (703) 592-4600

4933 Tamiami TRL N
Suite 200
Naples, FL 34103-3028
Phone (347) 830-7720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-007718VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thrivinglanellc.annepnguyen@149897.advancedmd-direct.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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1801351978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 N HIGHLAND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 TAMIAMI TRAIL N",
            "address_2": "SUITE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033028",
            "telephone_number": "727-291-9538",
            "fax_number": "727-293-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANNE",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031960",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112215",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007125",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.