Individual provider Active NPI

Sheila Waruguru Gachoka

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1760037105
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003016 Issued in FL
Practice address
26606 Magnolia Blvd
Lutz, FL 33559-8545
Phone
(813) 907-0123
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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 APRN11003016 FL Primary

Addresses

Primary practice location

26606 Magnolia Blvd
Lutz, FL 33559-8545

Mailing address

3649 30TH Ave N Apt 7
St Petersburg, FL 33713-3524
Phone (305) 986-7806

Other identifiers 1

IdentifierTypeStateIssuer
104287700MedicaidFL

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
I20191024000685 FL Practitioner - Nurse Practitioner 2062744071 Reassigns benefits to 1 organization

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
Inpatient Specialists GroupGroup PAC ID 0345584835, 66 clinicians

Practice addresses (Care Compare)

203 N Marion St
FL 2
Tampa, FL 33602-4914
Phone (813) 428-6904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11003016FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists Group CurrentSince Jan 1, 2024 Accepting new patients
Inpatient Specialists Group CurrentSince Jan 1, 2024 Accepting new patients
Hospitalists of Florida LLC CurrentSince Mar 22, 2020 Accepting new patients

Locations

26606 Magnolia Blvd
Lutz, FL 33559
Phone (813) 907-0123

203 N Marion St
Ste 3
Tampa, FL 33602

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1760037105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 30TH AVE N APT 7",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337133524",
            "telephone_number": "305-986-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26606 MAGNOLIA BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598545",
            "telephone_number": "813-907-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHOKA",
        "first_name": "SHEILA",
        "middle_name": "WARUGURU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104287700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.