KEVIN SHAJI VARGHESE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780565085

KEVIN SHAJI VARGHESE (PMHNP-BC) is a healthcare provider. based in Webster, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1036429 (TX). The NPI Number for KEVIN SHAJI VARGHESE (PMHNP-BC) is 1780565085

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
KEVIN SHAJI VARGHESE (PMHNP-BC)
NPI
1780565085
Phone
(281) 481-4646
Address
150 E MEDICAL CENTER BLVD STE A
Enumeration Date
11 September 2025
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814814646
Graduation Year
2025 (1 year ago)
PAC ID
4981193810
Group Practice PAC ID
9335196336
Professional Enrollment ID
I20251030001539
Address ID
TX775984373WE150XXAXXX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KEVIN SHAJI VARGHESE (PMHNP-BC)

  • 150 E MEDICAL CENTER BLVD STE A

    WEBSTER, TX 775984373

    Phone: (281) 481-4646

    Fax: (281) 481-4649

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251030001539INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77598)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335196336View full group profile
NameSpecialtyState
P S Y C H I A T R YTX
Nurse PractitionerTX
Physician AssistantTX
P S Y C H I A T R YTX
-TX
P S Y C H I A T R YTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is KEVIN SHAJI VARGHESE (PMHNP-BC) listed with a National Provider Identifier?
Yes — KEVIN SHAJI VARGHESE (PMHNP-BC) has NPI 1780565085 on file in the registry.
Is KEVIN SHAJI VARGHESE (PMHNP-BC) still an active registrant?
KEVIN SHAJI VARGHESE (PMHNP-BC) carries an active NPI according to the public dataset.
What expertise is attributed to KEVIN SHAJI VARGHESE (PMHNP-BC)?
KEVIN SHAJI VARGHESE (PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN SHAJI VARGHESE (PMHNP-BC)?
Directory geography for KEVIN SHAJI VARGHESE (PMHNP-BC) centers on Webster, Texas.
Does KEVIN SHAJI VARGHESE (PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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