Active NPI
Nichole E Venzara
- Family Nurse Practitioner
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11001702
- Practice address
- 255 Stewart Dr
Merritt Island, FL 32952-6414 - Phone
- (321) 302-6574
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11001702 | FL | Primary |
Addresses
Primary practice location
255 Stewart Dr
Merritt Island, FL 32952-6414
Mailing address
255 Stewart Dr
Merritt Island, FL 32952-6414
Phone (321) 302-6574
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | nichole.venzara@baycare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501
6470 US Hwy 1
Rockledge, FL 32955-5747
Phone (321) 425-2298
Hospital & facility affiliations
- Cape Canaveral Hospital
- Viera Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001702 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| Island Dermatology and Wellness | Family | Current | Accepting new patients |
| Complete Care LLC | Current | Accepting new patients | |
| Hobbs Pharmacy United Incorporated | Past | Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
119 N Banana River Dr
Merritt Island, FL 32952
Phone (321) 452-0010
2400 N Courtenay Pkwy
Ste 100
Merritt Island, FL 32953
Phone (321) 784-8211
6470 US Highway 1
Rockledge, FL 32955
Phone (321) 425-2298
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
Interoperability endpoints
- nichole.venzara.1@8042.direct.athenahealth.com
- https://api.platform.athenahealth.com/23154/brand/1/csg/1/fhir/r4
- nvenzara@ccl-fl.direct.office.nextgen.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Primary Care Clinic/Center
- Merritt Island, FL
- NPI 1801252457
-
- Community/Retail Pharmacy
- Merritt Island, FL
- NPI 1366511602
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1043875545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 STEWART DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526414",
"telephone_number": "321-302-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 STEWART DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526414",
"telephone_number": "321-302-6574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENZARA",
"first_name": "NICHOLE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11001702",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "nichole.venzara@baycare.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "255 Stewart Dr",
"city": "Merritt Island",
"state": "FL",
"country_code": "US",
"postal_code": "329526414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.