Active NPI
My Nga T Ho, APRN
- Nurse Practitioner
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11009859
- Practice address
- 1165 Dunlawton Ave Ste 101
Port Orange, FL 32127-2924 - Phone
- (386) 760-0815
- NPI assigned
- Nov 10, 2020
- Last updated
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11009859 | FL | Primary |
Addresses
Primary practice location
1165 Dunlawton Ave Ste 101
Port Orange, FL 32127-2924
Mailing address
1165 Dunlawton Ave Ste 101
Port Orange, FL 32127-2924
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1671 N Clyde Morris Blvd
Suite 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009859 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRC Associates LLC | Current | Accepting new patients | |
| PRC Associates LLC | Current | Accepting new patients |
Locations
1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977
750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123
761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977
501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 274-2977
2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160
21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280
1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815
Interoperability endpoints
- mynga.hoapn.p3@direct.ppncsnj.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Daytona Beach, FL
- NPI 1558310128
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- Pain Medicine Physician
- Orange City, FL
- NPI 1457480444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1730781295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 DUNLAWTON AVE STE 101",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321272924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 DUNLAWTON AVE STE 101",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321272924",
"telephone_number": "386-760-0815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "MY NGA",
"middle_name": "T",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11009859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.