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MRS. LISA INGRID NELSON-NGUYEN PAC NPI 1619964210


NPI Information

NPI: 1619964210
Provider Name: MRS. LISA INGRID NELSON-NGUYEN, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3415 53RD AVE
BETTENDORF, IA
ZIP 52722
Phone: (563) 742-4370
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MRS. Lisa Ingrid Nelson-nguyen, PAC is a medical physician assistant in Bettendorf, IA with 25 years of experience. MRS. Lisa Ingrid Nelson-nguyen, PAC NPI is 1619964210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

3415 53RD AVE
BETTENDORF, IA
ZIP 52722-976
Phone: (563) 742-4370
Fax: (309) 558-7026

The NPI 1619964210 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 9/29/2005 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical01283IOWANo
2363AM0700XPhysician AssistantMedical085001602ILLINOISNo
3363AM0700XPhysician AssistantMedical001283IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10080200MEDICAIDIOWA
21619964210MEDICAIDIOWA
3421060724OTHERIOWABILLING TAX ID# FOR CHC
4P06822OTHERUPIN
55100541OTHERIOWACONTROLLED SUBSTANCE #
642106072484OTHERIOWAJOHN DEERE HEALTH
7IA0184OTHERIOWAJOHN DEERE EDI#
8079425OTHERHEALTH ALLIANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.