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

Q: 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.

Q: 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.

Q: 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 2 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.

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: August 09, 2026.

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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

Quality

77.03

Promoting Interoperability

100

Improvement Activities

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)