Individual provider Active NPI

Yong Ko, PMHP-BC, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1285247437
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11013363 Issued in FL
Practice address
2910 Maguire Rd Ste 2002
Ocoee, FL 34761-4742
Phone
(863) 269-0173
Fax
(863) 269-0175
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN262545 GA
Family Nurse Practitioner 363LF0000X 2020042053 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188769 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013363 FL Primary

Addresses

Primary practice location

2910 Maguire Rd Ste 2002
Ocoee, FL 34761-4742

Mailing address

2910 Maguire Rd Ste 2002
Ocoee, FL 34761-4742
Phone (863) 269-0173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240123000724 DC Practitioner - Nurse Practitioner 3678925922 Reassigns benefits to 1 organization
I20240502003042 VA Practitioner - Nurse Practitioner 3678925922 Reassigns benefits to 1 organization
I20260618000850 FL Practitioner - Nurse Practitioner 3678925922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 Metro Pkwy
Fort Myers, FL 33916-7952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN262545GAMDRegistered Nurse
2020042053GAMDFamily Nurse Practitioner
APRN11013363FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC CurrentSince Jan 1, 2024 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

2331 York Rd
Ste 100
Timonium, MD 21093

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

630 Peter Jefferson Pkwy
Ste 130
Charlottesville, VA 22911
Phone (434) 201-2155

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1285247437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 MAGUIRE RD STE 2002",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614742",
            "telephone_number": "863-269-0173",
            "fax_number": "863-269-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 MAGUIRE RD STE 2002",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614742",
            "telephone_number": "863-269-0173",
            "fax_number": "863-269-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "YONG",
        "credential": "PMHP-BC, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN262545",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2020042053",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188769",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.