Individual provider Active NPI

Patrick Mitchel Bengston, APRN

  • Family Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1770177446
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011952 Issued in FL
Practice address
8924 Arabella LN
Seminole, FL 33777-2649
Phone
(800) 991-7630
Fax
(800) 921-1799
NPI assigned
Feb 23, 2021
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 APRN11011952 FL Primary

Addresses

Primary practice location

8924 Arabella LN
Seminole, FL 33777-2649

Mailing address

8924 Arabella LN
Seminole, FL 33777-2649
Phone (727) 214-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210310002809 FL Practitioner - Nurse Practitioner 9931515285 Reassigns benefits to 2 organizations
I20240723003817 OH Practitioner - Nurse Practitioner 9931515285

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promed Preferred FL 2 PLLCGroup PAC ID 8426588708, 11 clinicians

Practice addresses (Care Compare)

Seminole, FL 33777
Phone (615) 499-3165

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Diagnostics Current Accepting new patients
Promed Preferred FL 2, PLLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Mar 4, 2021 Accepting new patients
Professional Health Care of Pinellas LLC Internal Medicine CurrentSince Mar 4, 2021 Accepting new patients

Locations

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1770177446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 ARABELLA LN",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772649",
            "telephone_number": "727-214-4622",
            "fax_number": "800-921-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 ARABELLA LN",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772649",
            "telephone_number": "800-991-7630",
            "fax_number": "800-921-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGSTON",
        "first_name": "PATRICK",
        "middle_name": "MITCHEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.