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GENCI SHKEMBI PMHNP-BC
NPI 1760864375
Nurse Practitioner - Psychiatric/Mental Health in New Port Richey, FL

Active since June 19, 2015PECOS Enrolled
94.93/100
CMS Quality Rating
5411 GRAND BLVD STE 109, NEW PORT RICHEY, FL 34652(813) 515-3008(810) 496-5798 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genci Shkembi Pmhnp-bc NPPES

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

GENCI SHKEMBI PMHNP-BC (NPI 1760864375) is an individual psychiatric/mental health provider in New Port Richey, Florida, licensed in Florida (11006948) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760864375
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGENCI SHKEMBICredential: PMHNP-BC
Location Address5411 GRAND BLVD STE 109New Port Richey, FL 34652-4010
Mailing Address5411 Grand Blvd Ste 109New Port Richey, FL 34652-4010 · (813) 515-3008 · Fax (810) 496-5798
Phone(813) 515-3008
Fax(810) 496-5798
Sole ProprietorYes
Enumeration DateJune 19, 2015
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1760864375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · 11006948✔ Licensed in MI · 4704256452
5411 GRAND BLVD STE 109, New Port Richey, FL 34652
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genci Shkembi Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Genci Shkembi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

U Thrive Health LLC
Same address
Psychiatric/Mental Health
5411 GRAND BLVD STE 109
New Port Richey, FL 34652
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1083303127 (469) 915-4211
Florida Hospital Physician Group Inc
21 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34652 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

U THRIVE HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
5411 GRAND BLVD STE 109
NEW PORT RICHEY, FL 34652
Pasco County (469) 915-4211
ERIKA REMSBERG, LCSW
Social Worker (Clinical)
5411 GRAND BLVD STE 109
NEW PORT RICHEY, FL 34652
Pasco County (727) 777-4704
MS. SARA MARIE DEESE MCAP,LMHC, LPC, LPCC
Counselor (Mental Health)
5411 GRAND BLVD STE 109
NEW PORT RICHEY, FL 34652
Pasco County (727) 304-3842
MRS. DANIELLE ROSE ROBERTSON LCSW
Social Worker (Clinical)
5411 GRAND BLVD STE 109
NEW PORT RICHEY, FL 34652
Pasco County (727) 222-0733
ALLIANCE BEHAVIORAL HEALTH AND DEVELOPMENT
Social Worker (Clinical)
5411 GRAND BLVD STE 109
NEW PORT RICHEY, FL 34652
Pasco County (352) 403-1735
SARA DEESE, LLC DBA SERENITY OAKS COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
5411 GRAND BLVD STE 109
NEW PORT RICHEY, FL 34652
Pasco County (727) 304-3842

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 Genci Shkembi's NPI number?

The NPI number for Genci Shkembi is 1760864375. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Genci Shkembi located?

Genci Shkembi practices at 5411 Grand Blvd Ste 109, New Port Richey, FL 34652. The listed phone number is (813) 515-3008.

What is Genci Shkembi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Genci Shkembi enrolled in Medicare?

Yes. Genci Shkembi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Genci Shkembi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genci Shkembi reassigns Medicare benefits to 2 organizations: U Thrive Health LLC (New Port Richey, FL) and Florida Hospital Physician Group Inc (Tampa, 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 Genci Shkembi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Genci Shkembi accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Genci Shkembi 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 Genci Shkembi was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.