Individual provider Active NPI

My Nga T Ho, APRN

  • Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1730781295
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11009859 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012001707 FL Practitioner - Nurse Practitioner 2466807342 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
Group practices
PRC Associates LLCGroup PAC ID 5890698708, 15 clinicians

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

LicenseStateTypeSpecialty
11009859FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PRC Associates LLC CurrentSince Jul 7, 2023 Accepting new patients
PRC Associates LLC CurrentSince Jul 7, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.