Individual provider Active NPI

Sadeep Kumbhamuelil John, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1124890827
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11029280 Issued in FL
Practice address
200 E Robinson St Ste 425
Orlando, FL 32801-4347
Phone
(833) 769-3524
NPI assigned
Oct 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11029280 FL Primary

Addresses

Primary practice location

200 E Robinson St Ste 425
Orlando, FL 32801-4347

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (833) 769-3524

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
I20240125002097 FL Practitioner - Nurse Practitioner 2163875238 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

725 N 12TH Ave
B
Arcadia, FL 34266-8752
Phone (863) 494-1242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 13, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Jan 15, 2025 Accepting new patients
Balanced Wellbeing LLC CurrentSince Jan 13, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Jun 26, 2026 Accepting new patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Mar 11, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Jan 15, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

985 State Road 436
Casselberry, FL 32707
Phone (407) 831-5252

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

7255 Strive Pl
Fern Park, FL 32730
Phone (407) 848-1743

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

200 E Robinson St
Ste 425
Orlando, FL 32801
Phone (407) 787-9777

5201 Curry Ford Rd
Orlando, FL 32812
Phone (407) 384-8838

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

Organizations & group practices 6

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1124890827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "833-769-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROBINSON ST STE 425",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014347",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMBHAMUELIL JOHN",
        "first_name": "SADEEP",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11029280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.