Active NPI
Angel Nguyen, PA-C
- Surgical Physician Assistant
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA61372427
- Practice address
- 200 NE Mother Joseph PL Ste 110
Vancouver, WA 98664-3293 - Phone
- (360) 254-6161
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 10, 2024
- 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 | PA61372427 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA61372427 | WA | Primary |
Addresses
Primary practice location
200 NE Mother Joseph PL Ste 110
Vancouver, WA 98664-3293
Mailing address
200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ANGEL.NGUYEN@hca8.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 N Ctr Court St
110 Rebound Sports Medicine
Portland, OR 97227-2104
Phone (503) 732-6863
200 NE Mother Joseph PL
Vancouver, WA 98664-3296
Phone (360) 254-6161
200 NE Mother Joseph PL
110 Rebound Orthopedics
Vancouver, WA 98664-3293
Phone (360) 254-6161
200 NE Mother Joseph PL
Suite 210
Vancouver, WA 98664-3295
2121 NE 139TH St
300 Rebound
Vancouver, WA 98686-2316
Phone (360) 254-6161
2211 NE 139TH St
Legacy Salmon Creek Medical Center
Vancouver, WA 98686-2742
Phone (360) 487-1000
400 NE Mother Joseph PL
Peacehealth Southwest Medical Center
Vancouver, WA 98664-3200
Phone (360) 514-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61372427 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Surgical Specialists, P.C. | Current | Accepting new patients | |
| Northwest Surgical Specialists PC | Current | Accepting new patients | |
| J and D Physical Therapy Services | Past | Accepting new patients | |
| D&G Dental Associates PLLC | Past | Accepting new patients |
Locations
1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863
200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990
200 NE Mother Joseph Pl
Ste 110
Vancouver, WA 98664
Phone (360) 256-8584
200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145
2121 NE 139th St
Ste 300
Vancouver, WA 98686
Interoperability endpoints
- angel.nguyen.p1@direct.reboundmd.nextgenshare.com
- angel.nguyen@hca8.eclinicaldirectplus.com
- angel.nguyenpac.p1@direct.reboundmd.nextgenshare.com
- anguyen21713@reboundmd.gardenplot.direct-ci.com
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 Rebound Orthopedics & Neurosurgical Specialists
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1730118803
WA
-
dba Rebound Physical Therapy Salmon Creek
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1821510306
-
dba Rebound Orthopedic Physical Therapy
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Hospital
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1912597410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643295",
"telephone_number": "360-254-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643293",
"telephone_number": "360-254-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANGEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61372427",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61372427",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ANGEL.NGUYEN@hca8.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2100 Autumn Slate Dr Ste 120",
"city": "Pflugerville",
"state": "TX",
"country_code": "US",
"postal_code": "786606033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.