MY NGA T HO (APRN) – Nurse Practitioner, NPI 1730781295

MY NGA T HO (APRN) is a healthcare provider. based in Port orange, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11009859 (FL). The NPI Number for MY NGA T HO (APRN) is 1730781295

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MY NGA T HO (APRN)
NPI
1730781295
Phone
Not provided
Address
1165 DUNLAWTON AVE STE 101
Enumeration Date
10 November 2020
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862742977
Graduation Year
2020 (6 years ago)
PAC ID
2466807342
Group Practice PAC ID
5890698708
Professional Enrollment ID
I20231012001707
Address ID
FL321175590DA1671XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MY NGA T HO (APRN)

  • 1165 DUNLAWTON AVE STE 101

    PORT ORANGE, FL 321272924

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $765.

Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($200).

Total Amount

$765

General + Research + Ownership

Payments

39

Total payment records

General Amount

$765

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231012001707INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890698708View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyFL
Physical Medicine And RehabilitationFL
Physician AssistantFL
Nurse PractitionerFL
-IL
-FL
Anesthesiology, Pain ManagementFL
Nurse PractitionerFL
Interventional Pain Management, Anesthesiology, Physical Medicine And RehabilitationOH
Nurse PractitionerAZ

Reviews

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Frequently asked questions

How do payers reference MY NGA T HO (APRN)?
For MY NGA T HO (APRN), use NPI 1730781295 as the unique 10-digit identifier.
Would MY NGA T HO (APRN) appear as active to a payer?
You can treat MY NGA T HO (APRN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MY NGA T HO (APRN)?
MY NGA T HO (APRN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MY NGA T HO (APRN)?
Travel planning: use Port Orange, Florida as the reference point for MY NGA T HO (APRN), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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