Individual provider Active NPI

Jennifer Province Hong, ARNP

  • Adult Health Nurse Practitioner
  • South Miami, FL
National Provider Identifier
1861798092
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9292024 Issued in FL
Practice address
6701 SW 72ND St
Suite 212
South Miami, FL 33143-4529
Phone
(305) 663-0710
NPI assigned
Feb 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 9292024 FL
Gerontology Nurse Practitioner 363LG0600X ARNP 9292024 FL
Adult Health Nurse Practitioner 363LA2200X ARNP 9292024 FL Primary

Addresses

Primary practice location

6701 SW 72ND St
Suite 212
South Miami, FL 33143-4529

Mailing address

6701 SW 72ND St
Suite 212
South Miami, FL 33143-4529

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
I20130430000342 FL Practitioner - Nurse Practitioner 3779720271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group at South Miami IncGroup PAC ID 9931387875, 4 clinicians

Practice addresses (Care Compare)

6701 Sunset Dr
South Miami, FL 33143-4529
Phone (305) 663-0710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 9292024FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group at South Miami Inc CurrentSince Jun 1, 2024 Accepting new patients
Value Healthcare Partners PastSince Dec 1, 2024 Accepting new patients

Locations

6701 Sunset Dr
Ste 212
South Miami, FL 33143
Phone (305) 663-0710

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1861798092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SW 72ND ST",
            "address_2": "SUITE 212",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SW 72ND ST",
            "address_2": "SUITE 212",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-663-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JENNIFER",
        "middle_name": "PROVINCE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-05",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9292024",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 9292024",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9292024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.