Individual provider Active NPI

Irena Young Ghen, APRN

  • Family Nurse Practitioner
  • Palm City, FL
National Provider Identifier
1821439241
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9270960 Issued in FL
Practice address
1996 SW English Garden Dr
Palm City, FL 34990-8617
Phone
(772) 240-4693
Fax
(856) 246-5662
NPI assigned
Jul 14, 2013
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 ARNP9270960 FL Primary

Addresses

Primary practice location

1996 SW English Garden Dr
Palm City, FL 34990-8617

Mailing address

1996 SW English Garden Dr
Palm City, FL 34990-8617
Phone (772) 240-4693

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
I20150401002558 FL Order and Referring Only - Nurse Practitioner 7315264223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Health Institute, Inc. Past Accepting new patients

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, 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": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1821439241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 SW ENGLISH GARDEN DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908617",
            "telephone_number": "772-240-4693",
            "fax_number": "856-246-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 SW ENGLISH GARDEN DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908617",
            "telephone_number": "772-240-4693",
            "fax_number": "856-246-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEN",
        "first_name": "IRENA",
        "middle_name": "YOUNG",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-14",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9270960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.