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JACKIE NGUYEN NP
NPI 1710046420
Nurse Practitioner in Anaheim, CA

Active since December 08, 2006PECOS Enrolled
441 N LAKEVIEW AVE, ANAHEIM, CA 92807(888) 988-2800 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Nguyen Np NPPES

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

JACKIE NGUYEN NP (NPI 1710046420) is an individual nurse practitioner in Anaheim, California, licensed in California (NP11218) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710046420
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACKIE NGUYENCredential: NP
Location Address441 N LAKEVIEW AVEAnaheim, CA 92807-3028
Mailing Address441 N Lakeview AveAnaheim, CA 92807-3028 · (888) 988-2800
Phone(888) 988-2800
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 3, 2021
✔ NPI 1710046420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP11218
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
441 N LAKEVIEW AVE, Anaheim, CA 92807
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Nguyen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92807 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

DINO A. IMPERIAL DO
Family Medicine
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
JANA PINDUR MD
Pathology (Anatomic Pathology & Clinical Pathology)
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
RITU KHURANA RAWAL MD
Pediatrics
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
DARREN MURTARI MD
Pediatrics
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
MARINA A. BALL MD
Dermatology
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
HYON CHONG SEO MD
Internal Medicine
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
LANCE C. BRUNNER MD
Family Medicine
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
MICHAEL A. OLERICH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
441 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Nguyen's NPI number?

The NPI number for Jackie Nguyen is 1710046420. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Jackie Nguyen located?

Jackie Nguyen practices at 441 N Lakeview Ave, Anaheim, CA 92807. The listed phone number is (888) 988-2800.

What is Jackie Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jackie Nguyen enrolled in Medicare?

Yes. Jackie Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Nguyen was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.