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JACQUELYN DAN-PHUNG NGUYEN PA-C
NPI 1912513987
Physician Assistant - Surgical in Oreland, PA

Active since September 16, 2020PECOS Enrolled
2103 LANTERN LN, ORELAND, PA 19075(901) 641-3000(901) 373-0804 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2023, Mar 8, 2021, Mar 1, 2021 and 3 more (6 updates tracked since 2020).

About Jacquelyn Dan-phung Nguyen Pa-c NPPES

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

JACQUELYN DAN-PHUNG NGUYEN PA-C (NPI 1912513987) is an individual surgical provider in Oreland, Pennsylvania, licensed in Tennessee (4276) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912513987
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJACQUELYN DAN-PHUNG NGUYENCredential: PA-C
Location Address2103 LANTERN LNOreland, PA 19075-2513
Mailing Address2103 Lantern LnOreland, PA 19075-2513 · (267) 626-1377 · Fax (267) 626-1377
Phone(901) 641-3000
Fax(901) 373-0804
Sole ProprietorNo
Enumeration DateSeptember 16, 2020
Last NPPES UpdateMarch 6, 20236 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1912513987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · 4276
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 4276 (TN)
2103 LANTERN LN, Oreland, PA 19075
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Other Identifiers 2

Other1157550TN · Nccpa
Other4276TN · Physician Assistant

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Dan-phung Nguyen Pa-c 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.

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 Jacquelyn Nguyen's NPI number?

The NPI number for Jacquelyn Nguyen is 1912513987. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Jacquelyn Nguyen located?

Jacquelyn Nguyen practices at 2103 Lantern Ln, Oreland, PA 19075. The listed phone number is (901) 641-3000.

What is Jacquelyn Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacquelyn Nguyen enrolled in Medicare?

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

What insurance does Jacquelyn Nguyen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next list Jacquelyn Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Nguyen was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.