Active NPI
Jheanelle R Glevis, APRN
- Family Nurse Practitioner
- Bartow, FL
National Provider Identifier
1730845942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11029332
- Practice address
- 2055 E Georgia St
Bartow, FL 33830-6710 - Phone
- (863) 533-0578
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11029332 | FL | Primary |
Addresses
Primary practice location
2055 E Georgia St
Bartow, FL 33830-6710
Mailing address
2055 E Georgia St
Bartow, FL 33830-6710
Phone (863) 533-0578
Other practice location 1
1724 33rd St Ste 200
Orlando, FL 32839-8858
Phone (407) 499-0755
Other practice location 2
5200 Davisson Ave Ste B
Orlando, FL 32810-5350
Phone (407) 499-0755
Other practice location 3
410 Lionel Way Ste 202
Davenport, FL 33837-7809
Phone (407) 499-0755
Other practice location 4
12201 Research Pkwy Ste 300
Orlando, FL 32826-3265
Phone (407) 823-2744
Other practice location 5
1804 Oakley Seaver Dr Ste F
Clermont, FL 34711-1925
Phone (407) 499-0755
Other names 1
- Jheanelle R Shepherd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11029332 | FL | MD | Family Nurse Practitioner |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1730845942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 E GEORGIA ST",
"city": "BARTOW",
"state": "FL",
"postal_code": "338306710",
"telephone_number": "863-533-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 E GEORGIA ST",
"city": "BARTOW",
"state": "FL",
"postal_code": "338306710",
"telephone_number": "863-533-0578"
}
],
"practiceLocations": [
{
"address_1": "1724 33rd St Ste 200",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328398858",
"country_code": "US",
"telephone_number": "407-499-0755",
"fax_number": "949-543-2564",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Davisson Ave Ste B",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328105350",
"country_code": "US",
"telephone_number": "407-499-0755",
"fax_number": "949-543-2564",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 Lionel Way Ste 202",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338377809",
"country_code": "US",
"telephone_number": "407-499-0755",
"fax_number": "949-543-2564",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12201 Research Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328263265",
"country_code": "US",
"telephone_number": "407-823-2744",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1804 Oakley Seaver Dr Ste F",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347111925",
"country_code": "US",
"telephone_number": "407-499-0755",
"fax_number": "949-543-2564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEVIS",
"first_name": "JHEANELLE",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11029332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JHEANELLE",
"last_name": "SHEPHERD",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.