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Active NPI 1477782860 Individual Practitioner Male Practitioner

Simon Muttanil Chacko , ARNP

Nurse Practitioner • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Simon Chacko, ARNP is a certified Nurse Practitioner practicing in Tampa, FL. With approximately 21 years of clinical experience since completing medical education in 2005, Simon Chacko delivers high-quality medical care to the local community at 3117 W GANDY BLVD.

Simon Chacko is affiliated with Integrated Rehab Consultants Florida Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include refilling and maintenance of portable pump, infusion into a vein for therapy, prevention, or diagnosis, infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3117 W Gandy Blvd

Tampa, FL 336112927

Telephone 8722313162
Fax 7029771496
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tampa, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +11.7 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
832 Specialists

Practicing in Tampa, FL (8990 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chacko (21 Years) 21 Yrs
Tampa Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96521 Refilling and maintenance of portable pump
667 59 $250.00 $97.87
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour
663 59 $30.00 $16.27
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
663 59 $86.00 $49.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
652 57 $170.00 $105.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
573 119 $324.00 $89.16
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
171 50 $44.90 $28.54
99306 Initial nursing facility visit, typically 45 minutes per day
63 61 $543.00 $151.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $225.00 $138.09

Medical Specialties & State Licenses

CMS Verified: 2025-10-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN9406548

(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.

Hospital & Practice Group Affiliations

Integrated Rehab Consultants Florida Pllc

702 S Kings Ave, Brandon, FL 335115925

Phone: 8136511818

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alysse Boyd

Physician Assistant

NPI 1003018763
Emily Smith , PA

Physician Assistant

NPI 1003232612

Physician Assistant

Dr. Jessica Bloomgarden , MD

Physical Medicine & Rehabilitation

NPI 1013158427

Doctor of Medicine (M.D.)

Rajdeep Sandhu , FNP-C

Nurse Practitioner - Family

NPI 1013473073

Family Nurse Practitioner (Certified)

Lyncee Barrett , FNP

Nurse Practitioner - Family

NPI 1013483296

Family Nurse Practitioner

Dr. Allison Williams , MD

Physical Medicine & Rehabilitation

NPI 1013967066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location October 03, 2025

Registered at 3117 W GANDY BLVD, TAMPA, FL 336112927 (Tel: 8722313162)

📍
Updated Business Mailing Address October 03, 2025

Registered at PO BOX 7410884, CHICAGO, IL 606740884 (Tel: 7028990595)

📍
Updated Practice Location December 15, 2022

Registered at 7050 ULMERTON RD APT 210, LARGO, FL 337715003 (Tel: 7277774540)

📍
Updated Business Mailing Address December 15, 2022

Registered at 7050 ULMERTON RD APT 210, LARGO, FL 337715003 (Tel: 7277774540)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Nurse Practitioner (License #APRN9406548 in FL)

📍
Updated Practice Location June 08, 2022

Registered at 519A E BLOOMINGDALE AVE STE A, BRANDON, FL 335118105 (Tel: 8136554100)

📍
Updated Practice Location October 25, 2019

Registered at 701 SENECA ST STE 646C, BUFFALO, NY 142101351 (Tel: 7169954450)

NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2016

Registered at 3150 SW 38TH AVE, SUITE 600, MIAMI, FL 331461531 (Tel: 7862610222)

📍
Updated Business Mailing Address October 18, 2016

Registered at 14030 BISCAYNE BLVD, APT. 210, NORTH MIAMI BEACH, FL 331811535 (Tel: 5167610935)

👤
Provider Name / Credentials Updated October 18, 2016

Recorded as SIMON CHACKO, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Nurse Practitioner (License #ARNP9406548 in FL)

🟢
Initial NPI Registration & Enumeration July 07, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477782860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2009
Last Update: October 03, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 7410884

Chicago, IL 606740884

Phone: 7028990595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.