Olga M Lyew Kong, APRN
Individual provider Active NPI Nurse Practitioner · Zephyrhills, FL
NPI 1326664699 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1326664699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11007683 (FL)
- Practice address
- 38135 Market SQ
Zephyrhills, FL 33542-7505 - Phone
- (813) 780-2155
- Fax
- (813) 355-5017
- NPI assigned
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohi West Medical Group II LLC
Practice addresses (Care Compare)
38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195
38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414
38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380
38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440
38135 Market Square Dr
Zephyrhills, FL 33542-7505
Hospital & facility affiliations
- Adventhealth Zephyrhills
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210611001678 | FL | Practitioner - Nurse Practitioner | 2769882711 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11007683 | FL | MD | Nurse Practitioner |
| 11007683 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group II LLC | Single Specialty | Current |
Accepting new patients |
| Florida Medical Clinic, LLC | Current |
Accepting new patients | |
| Florida Medical Clinic LLC | Single Specialty | Current |
Accepting new patients |
| Ohi West Medical Group II LLC | Current |
Accepting new patients |
Locations
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 11007683 | FL | |
| Nurse Practitioner | 363L00000X | APRN11007683 | FL | Yes |
Addresses
Primary practice location
38135 Market SQ
Zephyrhills, FL 33542-7505
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (352) 567-0188
Other providers in Zephyrhills, FL
- Mike Louis
- Benjamin Loya Jr.
- Emily Brooke Loyed
- Romainda Lubin
- Lulucares LLC
- Gary Lykins
- Christin D Lynch
- M2 Chiropractic and Physical Therapy, Inc.
- Sunnye Deidre Lee Macca
- Jason Mach
All providers in Zephyrhills, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.