Individual provider Active NPI

Noeli Pinelo Nicholson, MD

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1053806117
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME156268 Issued in FL
Practice address
5100 S Cleveland Ave Ste 101
Fort Myers, FL 33907-2190
Phone
(941) 837-8002
Fax
(888) 355-6824
NPI assigned
Jun 29, 2018
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME156268 FL Primary

Addresses

Primary practice location

5100 S Cleveland Ave Ste 101
Fort Myers, FL 33907-2190

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220625000610 FL Practitioner - Family Practice 4981083607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME156268FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Medical of Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients
Hobdari Family Health LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

4520 E Bay Dr
Clearwater, FL 33764
Phone (727) 405-7188

1855 Veterans Park Dr
Ste 201
Naples, FL 34109
Phone (239) 260-1033

543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3809/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1053806117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S CLEVELAND AVE STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072190",
            "telephone_number": "941-837-8002",
            "fax_number": "888-355-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINELO NICHOLSON",
        "first_name": "NOELI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME156268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.