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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040109000062 | FL | Practitioner - Nurse Practitioner | 4385544253 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stankus Family Care | Family | Current |
Accepting new patients |
| Hma/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Shands/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Solantic/South Florida, LLC | Current |
Accepting new patients | |
| Carespot of Orlando Hsi Urgent Care LLC | Current |
Accepting new patients | |
| Stankus Family Care | Family | Current |
Accepting new patients |
| Solantic of Jacksonville, LLC | Current |
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
- https://fhir4.healow.com/fhir/r4/GJFDCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302076200 | Medicaid | FL |
NPI Registry JSON
{
"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
- Avery Partners, Inc
- Avery Partners, Inc
- B Transportation Inc
- Michael Jason Barnard
- Teresa Freeland Barr
- Holly Dee Billings
- Chris James Billman
- Valorie Caprice Bronstone
- Amanda Brown
- Elizabeth A. Burkett
All providers in High Springs, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.