MRS. LISA INGRID NELSON-NGUYEN PAC
NPI 1619964210
Physician Assistant - Medical in Bettendorf, IA

Q: What is Lisa Nelson-nguyen's NPI number?

The NPI number for Lisa Nelson-nguyen is 1619964210. It was assigned to this individual provider in the NPPES registry on September 29, 2005. The provider is also known as Mrs. Lisa Ingrid Nelson Pac.

Q: What is Lisa Nelson-nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment

3415 53RD AVE, BETTENDORF, IA 52722(563) 742-4370(309) 558-7026 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Lisa Ingrid Nelson-nguyen Pac NPPES

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

MRS. LISA INGRID NELSON-NGUYEN PAC (NPI 1619964210) is an individual medical provider in Bettendorf, Iowa, licensed in Iowa (001283) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1619964210

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. LISA INGRID NELSON-NGUYENCredential: PAC

Location Address3415 53RD AVEBettendorf, IA 52722-6976

Mailing Address3415 53rd AveBettendorf, IA 52722-6976 · (563) 742-4370 · Fax (309) 558-7026

Phone(563) 742-4370

Fax(309) 558-7026

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1999

Enumeration DateSeptember 29, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1619964210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in IA · 001283✔ Licensed in IA · 01283✔ Licensed in IL · 085001602

3415 53RD AVE, Bettendorf, IA 52722

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Other Names 1

Professional Name (2)Mrs. Lisa Ingrid Nelson Pac

Other Identifiers 8

Medicaid0080200IA

Medicaid1619964210IA

Other421060724IA · Billing Tax Id# For Chc

OtherP06822Upin

Other5100541IA · Controlled Substance #

Other42106072484IA · John Deere Health

OtherIA0184IA · John Deere Edi#

Other079425Health Alliance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Ingrid Nelson-nguyen Pac 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 ID5193894160

PECOS Enrollment IDI20080516000108, I20110117000097

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.

Areas of Expertise CMS Part B claims 8

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 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.

173 services171 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

44 services44 patients

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.

34 services34 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

31 services31 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

26 services26 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

SAMANTHA JO SALOW

Nurse Practitioner (Primary Care)