Genci Shkembi, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11006948 Issued in FL

Practice address

5411 Grand Blvd Ste 109
New Port Richey, FL 34652-4010

Phone

(813) 515-3008

Fax

(810) 496-5798

NPI assigned

Jun 19, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: genci.shkembidnpfnpc.p1@direct.gchc.nextgenshare.com
• Direct secure messaging: gshkembi73683@adventhealth.direct-ci.com
• Direct secure messaging: bokharimedicalconsortium.gencishkembi@157457.advancedmd-direct.com

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.

• U Thrive Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Port Richey, FL
  • NPI 1083303127
  Medicare reassignment NPD Authorized official
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Adventist Health System Sunbelt Inc

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1427296730
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1760864375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 GRAND BLVD STE 109",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524010",
            "telephone_number": "813-515-3008",
            "fax_number": "810-496-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 GRAND BLVD STE 109",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524010",
            "telephone_number": "813-515-3008",
            "fax_number": "810-496-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKEMBI",
        "first_name": "GENCI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704256452",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11006948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranjith M Shetty, M.D.
• Mena G Shinoda
• Ship Port Psych Services LLC
• Tiffany Yolanda Shirley
• Shiv Aggarwal MD PA
• Michelle Shockley, OTD, OTR/L
• Shodhan Patel MD PA
• Sarah Shortridge
• Jared Andrew Shouppe
• Joshua Shraberg, MD

• Psychiatric/Mental Health Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.