Individual provider Active NPI

Shirin Mobeen

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1265069652
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006716 Issued in FL
Practice address
7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone
(407) 303-8110
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 APRN11006716 FL Primary

Addresses

Primary practice location

7727 Lake Underhill Rd
Orlando, FL 32822-8224

Mailing address

11954 Narcoossee Rd Suite 2
#167
Orlando, FL 32832
Phone (407) 335-3549

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
I20200706000362 FL Practitioner - Nurse Practitioner 5193148401 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Transitional Care Specialists LLCGroup PAC ID 0143502831, 9 clinicians

Practice addresses (Care Compare)

11954 Narcoossee Rd
Orando, FL 32832-6998
Phone (407) 335-3549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006716FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Gastroenterology, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Orlando Tele Clinic LLC CurrentSince Apr 26, 2022 Accepting new patients
Orlando Transitional Care Specialists LLC CurrentSince Jun 30, 2020 Accepting new patients

Locations

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

1507 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 445-9224

11954 Narcoossee Rd
Ste 2
Orlando, FL 32832
Phone (407) 335-3549

Organizations & group practices 3

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1265069652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 NARCOOSSEE RD SUITE 2",
            "address_2": "#167",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-335-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228224",
            "telephone_number": "407-303-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBEEN",
        "first_name": "SHIRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.