Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Martin Ngu Kwale Pong, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1245935204

Mr. Martin Ngu Kwale Pong, PMHNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Health Group Providers LLC, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4338 W Thomas Rd
Phoenix, AZ 85031-3878
Phone: (682) 307-0864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 280285 (AZ)

Record details

NPI number1245935204
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMarch 31, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Health Group Providers Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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