Individual provider Active NPI

Ha Kim Nguyen

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1801765631
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035242 Issued in FL
Practice address
3614 Kiessel Rd
The Villages, FL 32163-2910
Phone
(352) 914-3451
Fax
(352) 415-3952
NPI assigned
Oct 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 APRN11035242 FL Primary

Addresses

Primary practice location

3614 Kiessel Rd
The Villages, FL 32163-2910

Mailing address

3614 Kiessel Rd
The Villages, FL 32163-2910
Phone (352) 914-3451

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
I20251219000248 FL Practitioner - Nurse Practitioner 1052806866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Medical PLLCGroup PAC ID 5890216345, 2 clinicians

Practice addresses (Care Compare)

3614 Kiessel Rd
The Villages, FL 32163-2910
Phone (407) 716-7861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11035242FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Medical PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

3614 Kiessel Rd
The Villages, FL 32163
Phone (352) 914-3451

Organizations & group practices 1

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": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1801765631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 KIESSEL RD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632910",
            "telephone_number": "352-914-3451",
            "fax_number": "352-415-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 KIESSEL RD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632910",
            "telephone_number": "352-914-3451",
            "fax_number": "352-415-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HA",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.