Lisa Ingrid Nelson-Nguyen, PAC
NPI 1619964210ActiveIndividual· Physician Assistant· Bettendorf, IA
Physician Assistant (PAC) in Bettendorf, Iowa, trained at Emory University School of Medicine (class of 1999). 225 Medicare patients in 2024, $14,580 paid; nearly all of their 583 Part D prescriptions were generic (96%).
Overview
| NPI | 1619964210 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Sep 29, 2005 |
| Last updated in NPPES | Feb 22, 2024 |
| Certified by provider | Feb 22, 2024 |
| Reactivated | Apr 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | 01283 | IA |
| Physician Assistant, Medical | 363AM0700X | 085001602 | IL |
| Physician Assistant, Medical | 363AM0700X | 001283 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IA); Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 445 across 35 procedure codes |
| Paid by Medicare | $14,580 |
Part D prescriptions in 2024
| Prescriptions (claims) | 583 · 583 30-day fills |
|---|---|
| Patients | 418 |
| Total drug cost | $5,320 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Physician Assistant |
Medical group
- Iowa Physicians Clinic Medical FoundationDes Moines, IA · 1,246 clinicians
Hospital affiliation
- Trinity Rock IslandRock Island, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 physician assistants in Bettendorf · All physician assistants in Iowa