Individual provider Active NPI

Praxides Mukoche Mbakaya-Chen, ARNP

  • Adult Health Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1700168085
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9323763 Issued in FL
Practice address
280 Farner PL
The Villages, FL 32163-6066
Phone
(844) 884-9355
Fax
(352) 674-8910
NPI assigned
Sep 13, 2011
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9323763 FL
Adult Health Nurse Practitioner 363LA2200X APRN9323763 FL Primary

Addresses

Primary practice location

280 Farner PL
The Villages, FL 32163-6066

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

Other identifiers 2

IdentifierTypeStateIssuer
FK403ZOtherMEDICARE PTAN
004023800MedicaidFL

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
I20111006000286 FL Practitioner - Nurse Practitioner 4789856147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Practice addresses (Care Compare)

280 Farner PL
The Villages, FL 32163-6066
Phone (352) 674-1710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9323763FLMDNurse Practitioner
APRN9323763FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Sep 13, 2011 Accepting new patients
The Villages Health System LLC CurrentSince Aug 4, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Current Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Sep 13, 2011 Accepting new patients

Locations

2020 Tally Rd
Leesburg, FL 34748
Phone (352) 315-7800

215 N 3rd St
Leesburg, FL 34748
Phone (352) 315-7900

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Lake Sumter Lndg
The Villages, FL 32162

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
  • Direct secure messaging: praxides.mbakaya-chen.1@18324.direct.athenahealth.com

Organizations & group practices 6

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1700168085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 FARNER PL",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636066",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAKAYA-CHEN",
        "first_name": "PRAXIDES",
        "middle_name": "MUKOCHE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9323763",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9323763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FK403Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004023800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.