Evelyn Susanne Bengston, APRN

Individual provider Active NPI Family Nurse Practitioner · High Springs, FL

NPI 1881685758 · NPPES record last updated Feb 5, 2025

Key facts

NPI
1881685758
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
ARNP2209102 (FL)
Practice address
18743 NW 234TH St
High Springs, FL 32643-0465
Phone
(386) 454-0721
Fax
(386) 454-0722
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 12

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stankus Family Care (4 clinicians)

Practice addresses (Care Compare)

18743 NW 234TH St
High Springs, FL 32643-0465
Phone (386) 454-0721

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040109000062 FL Practitioner - Nurse Practitioner 4385544253 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stankus Family Care Family Current
since Nov 21, 2024
Accepting new patients
Hma/Solantic Joint Venture, LLC Current
since May 16, 2013
Accepting new patients
Shands/Solantic Joint Venture, LLC Current
since May 16, 2013
Accepting new patients
Solantic/South Florida, LLC Current
since May 16, 2013
Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Current
since May 31, 2018
Accepting new patients
Stankus Family Care Family Current
since Nov 21, 2024
Accepting new patients
Solantic of Jacksonville, LLC Current
since May 16, 2013
Accepting new patients
Leeland ER SVCS Partnership LLC Past Accepting new patients
Oceanwind ER SVCS Partnership LLC Past Accepting new patients
Keys Cardiology PA Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients

Locations

3840 State Road 436
Ste 1000
Apopka, FL 32703
Phone (407) 478-3202

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

18743 NW 234th St
High Springs, FL 32643
Phone (352) 214-5807

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2209102 FL Yes

Addresses

Primary practice location

18743 NW 234TH St
High Springs, FL 32643-0465

Mailing address

18743 NW 234TH St
High Springs, FL 32643-0465
Phone (386) 454-0721

Other identifiers

IdentifierTypeStateIssuer
302076200MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2025.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1881685758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18743 NW 234TH ST",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430465",
            "telephone_number": "386-454-0721",
            "fax_number": "386-454-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18743 NW 234TH ST",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430465",
            "telephone_number": "386-454-0721",
            "fax_number": "386-454-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGSTON",
        "first_name": "EVELYN",
        "middle_name": "SUSANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2209102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302076200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Springs, FL

All providers in High Springs, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.