Skip to content
Security and identity ⇄ Business productivity

Active Directory to NextGen Healthcare integration — real-time, two-way sync

Keep Active Directory and NextGen Healthcare in sync without custom scripts. Cut weeks of integration work, eliminate silent data drift, and give your team a single, reliable source of truth.

  • SOC 2 and 6 other compliance frameworks
  • POC with real engineers in minutes

Adopted by fast-scaling companies moving mission-critical data in real time

Case study
Migrated from MuleSoft
Case study
Migrated from Celigo
Migrated from Heroku Connect
Migrated from Matillion
Case study
Migrated from Fivetran
Case study
Migrated from Celigo
Why teams connect Active Directory and NextGen Healthcare

Keep the users, groups, and profile details that NextGen Healthcare and Active Directory share consistent in real time, so who can work in NextGen Healthcare always matches who your directory in Active Directory says belongs there.

Active Directory is where a company records who its people are: their accounts, the groups and roles they hold, and the attributes attached to each one. NextGen Healthcare is where a slice of those same people do their work, as agents, members, or seats, and every one of them needs a matching account with the right access. When a directory and a productivity tool are maintained by hand, someone added, moved, or offboarded in one becomes a stale entry in the other within the hour.

Stacksync syncs Providers, Clinical Documents, Medications & Allergies, Lab Results in NextGen Healthcare with Directory roles, Service principals & applications, Organizational units, Organizational contacts in Active Directory bi-directionally and in real time. A user created, renamed, moved between groups, or deactivated in either system updates the matching record in the other within seconds, with field-level mapping and conflict resolution in place of CSV uploads and nightly IT batch jobs.

That matters most at the edges of employment. When both systems agree on who has an account, which groups they belong to, and whether they are still active, granting access on day one and revoking it on the last day stops being a manual checklist that trails the directory.

Common use cases

  • 01 Feed referral data into intake workflows so new patients are registered without rekeying.
  • 02 Sync patient demographics into a CRM for engagement and intake workflows.
  • 03 Read Users, Groups, and directoryRole assignments into a warehouse for periodic access reviews and SOC 2 audit evidence.
  • 04 Keep security-group memberships aligned with application entitlement tables so access reflects the right teams as they change.

Common sync patterns

Keep profile attributes current

A person's name, email, department, manager, or phone number corrected in either system updates the other, so the productivity tool shows the same details the directory holds of record.

Mirror group and role membership

Moving a user between groups or roles in Active Directory updates their team, permission set, or seat in NextGen Healthcare, so what someone can do reflects where they sit in the directory.

One record per person

People matched across both systems on email or an external ID stay linked, so every account and action in NextGen Healthcare ties back to the right identity in Active Directory.

What you can sync between Active Directory and NextGen Healthcare

Representative objects on each side — any object or custom field can map to any target. Schemas are auto-detected; types are converted between the two systems.

Active Directory objects NextGen Healthcare objects How this pairing syncs
Organizational contacts Directory contact objects (orgContact); synced for shared address-book and CRM person records. Patients Demographic records synced to CRMs and engagement tools for outreach and intake. Organizational contacts is specific to Active Directory and Patients to NextGen Healthcare — each maps to any object or custom field on the other side.
Users User accounts in Entra ID and on-prem AD DS; synced two-way to create, update attributes, and enable or disable accounts. Appointments Schedule data read and written for reminders, self-scheduling, and capacity reporting. Users is specific to Active Directory and Appointments to NextGen Healthcare — each maps to any object or custom field on the other side.
Groups Security and Microsoft 365 groups; synced two-way including name, type, and owner, with membership tracked separately. Encounters Visit records landed in analytics stores for utilization and quality reporting. Groups is specific to Active Directory and Encounters to NextGen Healthcare — each maps to any object or custom field on the other side.
Group memberships Member and owner links between users and groups; membership add/remove changes are surfaced by delta query. Providers Clinician and location directories kept consistent across scheduling and web systems. Group memberships is specific to Active Directory and Providers to NextGen Healthcare — each maps to any object or custom field on the other side.
Devices Registered and joined device objects; typically read into a database for inventory and compliance reporting. Clinical Documents Notes and attachments exchanged with referral and document-management workflows. Devices is specific to Active Directory and Clinical Documents to NextGen Healthcare — each maps to any object or custom field on the other side.
Directory roles Admin role assignments (directoryRole); read for access reviews and least-privilege governance. Medications & Allergies Clinical list data read via standardized FHIR resources for care coordination. Directory roles is specific to Active Directory and Medications & Allergies to NextGen Healthcare — each maps to any object or custom field on the other side.

How changes propagate between Active Directory and NextGen Healthcare

Each direction of the sync is driven by what the source system can signal and what the destination accepts — detection, delivery, and expected latency below.

Active Directory NextGen Healthcare Sub-second propagation

DetectionActive Directory notifies Stacksync of record changes through webhook events. Microsoft Graph delta query (change tracking) for Users and Groups, plus change-notification subscriptions (webhooks) for near-real-time triggers.

DeliveryEach detected change is written to NextGen Healthcare through its API, with automatic retries and rate-limit backoff.

NextGen Healthcare Active Directory Interval-based propagation

DetectionStacksync polls NextGen Healthcare for changes on an incremental schedule, reading only records changed since the previous pass. Polling, typically filtering on last-updated timestamps.

DeliveryEach detected change is written to Active Directory through its API, with automatic retries and rate-limit backoff.

Rate-limit considerations

  • Active Directory: Graph throttles by resource-unit cost per app per tenant in 10-second windows (about 3,500–8,000 units by tenant size); directory delta tokens expire after ~7 days.
  • NextGen Healthcare: Subject to the platform's API rate limits and healthcare data-access agreements.
What ships with Active Directory ⇄ NextGen Healthcare

Connect Active Directory and NextGen Healthcare for flexible, real-time data sync.

Real-time sync, workflow automation, event queues, EDI, and monitoring, for every Active Directory–NextGen Healthcare connection.

Real-time

Two-way sync

Changes in Active Directory or NextGen Healthcare instantly reflect in both systems. No stale data, no manual imports.

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Active Directory or NextGen Healthcare data changes, update records, fire webhooks, or kick off sequences without brittle API scripts.

At scale

Event queues

Handle millions of events per minute without losing a single Active Directory or NextGen Healthcare record.

Observability

Monitoring

Track your Active Directory ⇄ NextGen Healthcare sync health, view errors, and replay failed events in one click.

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between Active Directory and NextGen Healthcare.

How the Active Directory and NextGen Healthcare connectors work

Active Directory

Integration surface
Microsoft Graph REST API (Entra ID / cloud) and LDAP/LDAPS (on-premises AD DS)
Authentication
OAuth 2.0 via the Microsoft identity platform — an app registration with application or delegated permissions (e.g. User.ReadWrite.All, Group.ReadWrite.All) and admin consent; on-prem AD DS uses a bound service account over LDAPS.
Change detection
Microsoft Graph delta query (change tracking) for Users and Groups, plus change-notification subscriptions (webhooks) for near-real-time triggers; on-prem AD DS uses the DirSync control and uSNChanged polling.
Capabilities
read · write · webhooks
Rate limits
Graph throttles by resource-unit cost per app per tenant in 10-second windows (about 3,500–8,000 units by tenant size); directory delta tokens expire after ~7 days.

NextGen Healthcare

Integration surface
REST API, including FHIR-based endpoints published through NextGen's developer API program
Authentication
OAuth 2.0
Change detection
Polling, typically filtering on last-updated timestamps; no general-purpose webhook surface
Capabilities
read · write
Rate limits
Subject to the platform's API rate limits and healthcare data-access agreements.
How it works

How to connect Active Directory to NextGen Healthcare — three steps, no code

Configure and sync within minutes, no code. Whether you sync 50k or 100M+ records, Stacksync handles the queues, infra, and plumbing. Integrations are non-invasive and need zero setup on your systems.

  1. 01

    Connect your apps

    Authenticate Active Directory and NextGen Healthcare with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.

    • OAuth 2.0
    • SSH tunnel
    • VPC peering
    Active Directory connected
    NextGen Healthcare connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Active Directory and NextGen Healthcare objects to sync — Stacksync auto-detects both schemas, including custom fields where the platform exposes them. Sync to existing tables, or let Stacksync create new ones with ideal data types.

    • Standard objects
    • Custom objects
    • Auto-schema
    objects · Active Directory ⇄ NextGen Healthcare
    Customers 12,480
    Sales Orders 8,213
    Invoices 5,902
    Items 1,344
  3. 03

    Map fields

    Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.

    • Auto-map
    • Type casting
    • Transforms
    Active Directory NextGen Healthcare
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
Try interactive demo
FAQ

Active Directory and NextGen Healthcare integration FAQ

SECURITY

Security teams trust Stacksync

As a data company, we understand the importance of keeping your data secure. Stacksync is built with security best practices to keep your data safe at every layer, and is DPF-certified for US, EU, UK and CH data transfers.

Learn more about security
SOC 2 Type II
ISO 27001
HIPAA BAA
GDPR
CCPA
DPF US-EU-UK-CH
→ SECURITY WITH BENEFITS

SSO & SCIM

Let your users access Stacksync from your centralized user management systems. Works with Okta, Azure, Google SSO and more.

Alerts

Immediately get alerted about record syncing issues over email, Slack, PagerDuty and WhatsApp. Resolve issues from a centralized dashboard with retry and revert options.

Secure connection options

Securely connects to your systems with:

OAuth 2 SSH Tunnelling SSL certificates IP Whitelisting VPN gateway VPC peering and more

Related integrations

Every pair below is a real-time, two-way sync. Search all 368 integrations available for Active Directory and NextGen Healthcare.

Popular · 8 of 368
All Active Directory integrations All NextGen Healthcare integrations Browse all integrations
Coworkers laughing in front of a laptop in a casual office setting

Your last integration took months.
Your next one takes a prompt.

Book a demo Tour the platform on your own