Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MY NGUYEN NP
NPI 1093488967
Nurse Practitioner - Family in Jacksonville, FL

Q: What is My Nguyen's NPI number?

The NPI number for My Nguyen is 1093488967. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Q: What is My Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for My Nguyen was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2021PECOS EnrolledAccepts Medicare Assignment

4205 BELFORT RD STE 4030, JACKSONVILLE, FL 32216(904) 515-6621(833) 455-7974 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Oct 6, 2021, Jul 27, 2021 (3 updates tracked since 2021).

On this page

About My Nguyen Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY NGUYEN NP (NPI 1093488967) is an individual family provider in Jacksonville, Florida, licensed in Florida (11014049) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1093488967

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMY NGUYENCredential: NP

Location Address4205 BELFORT RD STE 4030Jacksonville, FL 32216-1475

Mailing Address4205 Belfort Rd Ste 4030Jacksonville, FL 32216-1475 · (904) 515-6621 · Fax (833) 455-7974

Phone(904) 515-6621

Fax(833) 455-7974

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 27, 2021

Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1093488967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11014049

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 11014049 (FL)

4205 BELFORT RD STE 4030, Jacksonville, FL 32216

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Secondary Practice Location 1

Location 18130 Baymeadows Way W Ste 201Jacksonville, FL 32256-7451 · Phone (904) 503-9442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

My Nguyen Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012307481

PECOS Enrollment IDI20211130000954

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show My Nguyen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-South Home Care Services, LLC

117 mi

Hospice and Palliative Medicine

950 S DILLARD ST STE A
Winter Garden, FL 34787

Reassigned Medicare billing, Florida enrollment
21 clinicians in this Medicare group

NPI 1679195028 (407) 794-8382

Florida Medical Clinic LLC

142 mi

Clinic/Center

38135 MARKET SQUARE
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
451 clinicians in this Medicare group

NPI 1821055690 (813) 780-8440

Ohi West Medical Group II LLC

142 mi

General Practice

38135 MARKET SQUARE DR
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
467 clinicians in this Medicare group

NPI 1982381299 (813) 780-8774

Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A

183 mi

Pediatric Gastroenterology

601 5TH ST S., SUITE #605
St Petersburg, FL 33701

Reassigned Medicare billing, Florida enrollment
24 clinicians in this Medicare group

NPI 1780787382 (727) 822-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

287 services141 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

61 services61 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

59 services59 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

59 services59 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

57 services57 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA D RANINGA LMHC, MCAP

Counselor (Mental Health)