NPIMap

Individual provider Active NPI

Jed Dinh Nguyen, MS, APRN, NP-C

  • Family Nurse Practitioner
  • Duncan, OK
National Provider Identifier
1861942708
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
93835 Issued in OK
Practice address
1407 N Whisenant Dr
Duncan, OK 73533-1650
Phone
(580) 252-5300
Fax
(580) 251-8575
NPI assigned
Oct 4, 2016
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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 93835 OK Primary

Addresses

Primary practice location

1407 N Whisenant Dr
Duncan, OK 73533-1650

Mailing address

1809 Terrace Dr
Duncan, OK 73533-1327
Phone (405) 615-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119000773 OK Practitioner - Nurse Practitioner 9931481306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Emergency Partners, LLCGroup PAC ID 1153853130, 13 clinicians

Practice addresses (Care Compare)

2621 N Whisenant Dr
Duncan, OK 73533-0911
Phone (580) 252-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Emergency Services PC CurrentSince Dec 1, 2016 Accepting new patients
South Central Emergency Services PC CurrentSince Dec 1, 2016 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Sep 1, 2020 Accepting new patients
Centurion Emergency Partners LLC CurrentSince Nov 5, 2024 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Sep 1, 2020 Accepting new patients
Duncan Regional Hospital Inc Past Accepting new patients

Locations

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

9170 US Highway 70
Waurika, OK 73573
Phone (580) 228-3669

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1861942708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 TERRACE DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331327",
            "telephone_number": "405-615-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N WHISENANT DR",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331650",
            "telephone_number": "580-252-5300",
            "fax_number": "580-251-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JED",
        "middle_name": "DINH",
        "name_prefix": "Mr.",
        "credential": "MS, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "93835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.