Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Simon Muttanil Chacko Jr., ARNP

Individual provider Nurse Practitioner · NPI 1477782860

Simon Muttanil Chacko Jr., ARNP is a Nurse Practitioner in Tampa, Florida. Qualified in 2005, 21 years ago. Practices with Integrated Rehab Consultants Florida PLLC, a 41-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2009
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3117 W Gandy Blvd
Tampa, FL 33611-2927
Phone: (872) 231-3162
Fax: (702) 977-1496
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9406548 (FL)

Record details

NPI number1477782860
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorYes
NPI enumeratedJuly 7, 2009
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing addressPo Box 7410884, Chicago, IL 60674-0884

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Integrated Rehab Consultants Florida Pllc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tampa