Active NPI
Lilee Nguyen, PA-C
- Physician Assistant
- Lagrange, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10004697A
- Practice address
- 2500 N Detroit St
Lagrange, IN 46761-1158 - Phone
- (260) 463-2133
- Fax
- (260) 463-3775
- NPI assigned
- Oct 16, 2024
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14029 | GA | |
| Physician Assistant | 363A00000X | 10004697A | IN | Primary |
Addresses
Primary practice location
2500 N Detroit St
Lagrange, IN 46761-1158
Mailing address
PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133
Other practice location 1
11136 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 484-8551
Other practice location 2
1500 Provident Dr Ste B
Warsaw, IN 46580-3297
Phone (574) 269-8301
Other practice location 3
8202 Glencarin Blvd Ste 300
Fort Wayne, IN 46804-5783
Phone (260) 484-8551
Other practice location 4
631 Professional Dr Ste 170
Lawrenceville, GA 30046-3392
Phone (678) 312-2663
Other practice location 5
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics Northeast PC | Current | Accepting new patients | |
| Northeast Internal Medicine Associates, PC | Past | Accepting new patients | |
| Northeast Internal Medicine Associates, PC | Past | Accepting new patients |
Locations
11136 Parkview Circle Dr
Fort Wayne, IN 46845
5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203
8202 Glencarin Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 484-1855
1500 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 269-8301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DBA ONE Anesthesia Services
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1740268796
-
dba Surgery One
- Ambulatory Surgical Clinic/Center
- Fort Wayne, IN
- NPI 1417936477
-
- Internal Medicine Physician
- Lagrange, IN
- NPI 1174518500
-
- Primary Care Nurse Practitioner
- Lagrange, IN
- NPI 1366859779
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1841010592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467610236",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N DETROIT ST",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467611158",
"telephone_number": "260-463-2133",
"fax_number": "260-463-3775"
}
],
"practiceLocations": [
{
"address_1": "11136 Parkview Circle Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451730",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Provident Dr Ste B",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "IN",
"postal_code": "465803297",
"country_code": "US",
"telephone_number": "574-269-8301",
"fax_number": "574-269-8302",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8202 Glencarin Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468045783",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "631 Professional Dr Ste 170",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300463392",
"country_code": "US",
"telephone_number": "678-312-2663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 N Clinton St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468255886",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "LILEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "14029",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004697A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.