Individual provider Active NPI

Valerie Pong, DNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1538760921
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018956 Issued in TX
Practice address
4338 W Thomas Rd
Phoenix, AZ 85031-3878
Phone
(928) 565-8203
NPI assigned
Nov 3, 2020
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 1018956 TX Primary

Addresses

Primary practice location

4338 W Thomas Rd
Phoenix, AZ 85031-3878

Mailing address

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152
Phone (940) 766-6306

Other practice location 1

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152
Phone (940) 766-6306 ext. 2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260210001955 TX Practitioner - Nurse Practitioner 2466869243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018956TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Texas Community Health Care Center, Inc CurrentSince Dec 15, 2025 Accepting new patients
North Central Texas Community Health Care Center, Inc CurrentSince Dec 15, 2025 Accepting new patients

Locations

200 Mlk Jr Blvd
Wichita Falls, TX 76301
Phone (940) 397-2609

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1538760921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306",
            "fax_number": "940-766-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "928-565-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 MLK Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763011152",
            "country_code": "US",
            "telephone_number": "940-766-6306 x2182",
            "fax_number": "940-766-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONG",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.