Individual provider Active NPI

Jheanelle R Glevis, APRN

  • Family Nurse Practitioner
  • Bartow, FL
National Provider Identifier
1730845942
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029332 Issued in FL
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

Updated by the provider on Jun 20, 2026

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 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 Former name

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029332FLMDFamily 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

Verify at the official NPI Registry.