KOPILA SANGROULA PANDEY AGACNP-BC
NPI 1295537934
Nurse Practitioner - Acute Care in Orlando, FL

Active since March 25, 2025PECOS EnrolledAccepts Medicare Assignment
12315 LAKE UNDERHILL RD STE A, ORLANDO, FL 32828(407) 636-2437(407) 380-7043 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Dec 11, 2025, Mar 25, 2025 (3 updates tracked since 2025).

About Kopila Sangroula Pandey Agacnp-bc NPPES

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

KOPILA SANGROULA PANDEY AGACNP-BC (NPI 1295537934) is an individual acute care provider in Orlando, Florida, licensed in Florida (ARNP11040021) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295537934
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKOPILA SANGROULA PANDEYCredential: AGACNP-BC
Location Address12315 LAKE UNDERHILL RD STE AOrlando, FL 32828-4507
Mailing Address1002 Belvoir DrKissimmee, FL 34744-8555 · (571) 533-5333
Fax(407) 380-7043
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 25, 2025
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1295537934 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
Licenses Licensed in FL · ARNP11040021 Licensed in VA · 0001261399
12315 LAKE UNDERHILL RD STE A, Orlando, FL 32828

Other Names 1

Other Name (5)Kopila Sangroula Aprn

Secondary Practice Locations 2

Location 17350 Sandlake Commons Blvd Ste 1100Orlando, FL 32819-8031 · Phone (407) 636-2437 · Fax (407) 370-9715
Location 211601 S Orange Blossom Trl Ste 108Orlando, FL 32837-9437 · Phone (571) 837-1273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kopila Sangroula Pandey Agacnp-bc 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 ID9436645868
PECOS Enrollment IDI20260106000512
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32828 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 3

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

Obstetrics & Gynecology (Obstetrics)
12315 LAKE UNDERHILL RD STE A
ORLANDO, FL 32828
Allergy & Immunology (Allergy)
12315 LAKE UNDERHILL RD STE A
ORLANDO, FL 32828
Nurse Practitioner (Family)
12315 LAKE UNDERHILL RD STE A
ORLANDO, FL 32828

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 Kopila Sangroula Pandey's NPI number?

The NPI number for Kopila Sangroula Pandey is 1295537934. It was assigned to this individual provider in the NPPES registry on March 25, 2025. The provider is also known as Kopila Sangroula Aprn.

Where is Kopila Sangroula Pandey located?

Kopila Sangroula Pandey practices at 12315 Lake Underhill Rd Ste A, Orlando, FL 32828. The listed phone number is (407) 636-2437.

What is Kopila Sangroula Pandey's specialty?

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

Is Kopila Sangroula Pandey enrolled in Medicare?

Yes. Kopila Sangroula Pandey 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.

When was this NPI record last updated?

The NPPES record for Kopila Sangroula Pandey was last updated on April 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.