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HETALBEN BHATT
NPI 1255089645
Nurse Practitioner - Acute Care in Sanford, FL

Active since March 15, 2022PECOS EnrolledAccepts Medicare Assignment
3647 S ORLANDO DR, SANFORD, FL 32773(407) 541-0115(407) 344-7910 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2026, Jan 18, 2023 (2 updates tracked since 2023).

About Hetalben Bhatt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HETALBEN BHATT (NPI 1255089645) is an individual acute care provider in Sanford, Florida, licensed in Florida (APRN11015865) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255089645
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameHETALBEN BHATT
Location Address3647 S ORLANDO DRSanford, FL 32773-5611
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (844) 630-0700 · Fax (877) 374-1924
Phone(407) 541-0115
Fax(407) 344-7910
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 15, 2022
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1255089645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · APRN11015865
3647 S ORLANDO DR, Sanford, FL 32773
Open in Google Maps ↗

Other Identifiers 1

Other16418288FL · Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hetalben Bhatt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769861830
PECOS Enrollment IDI20220620002074
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Hetalben Bhatt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centerwell Senior Primary Care Fl Jv PLLC
Same address
Internal Medicine
3647 S ORLANDO DR
Sanford, FL 32773
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
NPI 1891522181 (407) 541-0115
Florida Hospital Medical Group Inc
16 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
375 services167 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
70 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
61 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARCOS ANTONIO RIVERA ROMAN MD
General Practice
3647 S ORLANDO DR
SANFORD, FL 32773
Seminole County (407) 541-0115
CENTERWELL SENIOR PRIMARY CARE FL JV PLLC
Internal Medicine
3647 S ORLANDO DR
SANFORD, FL 32773
Seminole County (407) 541-0115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetalben Bhatt's NPI number?

The NPI number for Hetalben Bhatt is 1255089645. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Hetalben Bhatt located?

Hetalben Bhatt practices at 3647 S Orlando Dr, Sanford, FL 32773. The listed phone number is (407) 541-0115.

What is Hetalben Bhatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Hetalben Bhatt enrolled in Medicare?

Yes. Hetalben Bhatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hetalben Bhatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hetalben Bhatt reassigns Medicare benefits to 2 organizations: Centerwell Senior Primary Care Fl Jv PLLC (Sanford, FL) and Florida Hospital Medical Group Inc (Orlando, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hetalben Bhatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hetalben Bhatt was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.