Individual provider Active NPI

Tungan Mary Chen, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1336865559
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021905 Issued in FL
Practice address
601 E University Blvd
Melbourne, FL 32901-7121
Phone
(321) 726-2909
Fax
(321) 984-4825
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11021905 FL Primary

Addresses

Primary practice location

601 E University Blvd
Melbourne, FL 32901-7121

Mailing address

601 E University Blvd
Melbourne, FL 32901-7121
Phone (321) 726-2909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240116002782 FL Practitioner - Nurse Practitioner 8426400391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Jan 4, 2024 Accepting new patients
Florida Department of Health CurrentSince Jan 4, 2024 Accepting new patients

Locations

601 E University Blvd
Melbourne, FL 32901
Phone (321) 615-9337

2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148

2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337

2565 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 409-2136

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1336865559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E UNIVERSITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017121",
            "telephone_number": "321-726-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E UNIVERSITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017121",
            "telephone_number": "321-726-2909",
            "fax_number": "321-984-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TUNGAN",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.