1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Nurse Practitioner
  6. NPI Profile

SIMON MUTTANIL CHACKO JR. ARNP
NPI 1477782860
Nurse Practitioner in Tampa, FL

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment
3117 W GANDY BLVD, TAMPA, FL 33611(872) 231-3162(702) 977-1496 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2022, Jun 8, 2022, Oct 25, 2019 and 1 more (4 updates tracked since 2016).

About Simon Muttanil Chacko Jr. Arnp NPPES

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

SIMON MUTTANIL CHACKO JR. ARNP (NPI 1477782860) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN9406548) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1477782860
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSIMON MUTTANIL CHACKO JR.Credential: ARNP
Location Address3117 W GANDY BLVDTampa, FL 33611-2927
Mailing AddressPo Box 7410884Chicago, IL 60674-0884 · (702) 899-0595 · Fax (702) 977-1496
Phone(872) 231-3162
Fax(702) 977-1496
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 7, 2009
Last NPPES UpdateOctober 3, 20254 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1477782860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN9406548
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3117 W GANDY BLVD, Tampa, FL 33611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Simon Muttanil Chacko Jr. Arnp 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 ID8325322753
PECOS Enrollment IDI20170303000864
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.

Areas of Expertise CMS Part B claims 8

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.

Refilling and maintenance of portable pump 96521
Refilling and maintenance of a portable pump involves replenishing the medication contained within the pump and ensuring its functionality. This process includes checking battery life, inspecting for damages, and cleaning the device for optimal performance. It's essential to maintain a clean, functional pump for effective treatment.
667 services59 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
663 services59 patients
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366
This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
663 services59 patients
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.
652 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
573 services119 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
171 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33611 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.

FELICIA WALKER NP-C
Nurse Practitioner
3117 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 261-5500
SOVEREIGN HEALTHCARE OF TAMPA, LLC
Skilled Nursing Facility
3117 W GANDY BLVD
TAMPA, FL 33611
Hillsborough County (813) 261-5500

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 Simon Chacko's NPI number?

The NPI number for Simon Chacko is 1477782860. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Simon Chacko located?

Simon Chacko practices at 3117 W Gandy Blvd, Tampa, FL 33611. The listed phone number is (872) 231-3162.

What is Simon Chacko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Simon Chacko enrolled in Medicare?

Yes. Simon Chacko 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.

What insurance does Simon Chacko accept?

Health plans from AvMed list Simon Chacko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simon Chacko was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.