Individual provider Active NPI

Bincy Thenguvila Geevarghese, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1548053192
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039328 Issued in FL
Practice address
4651 Jetty St
Orlando, FL 32817-3182
Phone
(407) 376-3131
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 11039328 FL Primary

Addresses

Primary practice location

4651 Jetty St
Orlando, FL 32817-3182

Mailing address

4651 Jetty St
Orlando, FL 32817-3182
Phone (407) 376-3131

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
I20251017001196 FL Practitioner - Nurse Practitioner 1850888272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4651 Jetty St
Orlando, FL 32817-3182

PO Box
Suite 691326
Orlando, FL 32869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11039328FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hasan Shahab, M.D., P.a CurrentSince Oct 1, 2025 Accepting new patients
Nephrology Partners of Central Florida LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

10960 Dylan Loren Cir
Orlando, FL 32825
Phone (407) 420-7952

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1548053192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 JETTY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173182",
            "telephone_number": "407-376-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 JETTY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173182",
            "telephone_number": "407-376-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THENGUVILA GEEVARGHESE",
        "first_name": "BINCY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.