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Mrs. Lisa Ingrid Nelson-Nguyen, PAC

Physician Assistant in Bettendorf, IA · enumerated 2005 · practices at Iowa Physicians Clinic Medical Foundation.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619964210

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Registry record

Entity type Individual (Type 1)
Name Mrs. Lisa Ingrid Nelson-Nguyen
Credential PAC
Sex Female
Practice address 3415 53rd Ave, Bettendorf, IA, 52722
Fax (309) 558-7026
Enumeration date Sep 29, 2005
Last updated in NPPES Feb 22, 2024

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 01283 (IA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085001602 (IL) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 001283 (IA) Secondary

Other identifiers

Identifier Type State Issuer
079425 Other - HEALTH ALLIANCE
421060724 Other IA BILLING TAX ID# FOR CHC
IA0184 Other IA JOHN DEERE EDI#
P06822 Other - UPIN
5100541 Other IA CONTROLLED SUBSTANCE #
1619964210 Medicaid IA -
0080200 Medicaid IA -
42106072484 Other IA JOHN DEERE HEALTH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lisa Nelson-Nguyen?
The National Provider Identifier (NPI) for Lisa Nelson-Nguyen is 1619964210, a Type 1 (individual) record in the CMS NPPES registry.
Where does Lisa Nelson-Nguyen practice?
The practice location on file with NPPES is in Bettendorf, IA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-22.