Individual provider Active NPI

Nicole Marie Szell, D.O.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Largo, FL
National Provider Identifier
1124316088
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
OS13701 Issued in FL
Practice address
1775 E Bay Dr
Largo, FL 33771-2213
Phone
(727) 441-1508
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101019310 MI
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X OS13701 FL Primary

Addresses

Primary practice location

1775 E Bay Dr
Largo, FL 33771-2213

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981

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
I20161118001117 FL Practitioner - Urology 2163726373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology Institute LLCGroup PAC ID 2163653585, 152 clinicians

Practice addresses (Care Compare)

3890 Tampa Rd
Suite 401
Palm Harbor, FL 34684-3675
Phone (727) 781-3547

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • Baycare Home Care Inc Home health agency, Dunedin, FL, CCN 107415
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
80.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019310MIMDUrology Physician
OS13701FLMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC Urology CurrentSince Nov 17, 2017 Accepting new patients
Advanced Urology Institute, LLC Urology CurrentSince Nov 17, 2017 Accepting new patients
Advanced Urology Institute LLC Urology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

430 Morton Plant St
Ste 206
Clearwater, FL 33756
Phone (727) 298-5230

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

1775 E Bay Dr
Largo, FL 33771
Phone (727) 441-1508

8787 Bryan Dairy Rd
Ste 280
Largo, FL 33777
Phone (727) 394-5225

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981

35095 US Highway 19 N
Ste 202
Palm Harbor, FL 34684
Phone (727) 771-0600

3890 Tampa Rd
Ste 401
Palm Harbor, FL 34684
Phone (727) 784-8870

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1124316088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "352-205-8981",
            "fax_number": "352-391-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712213",
            "telephone_number": "727-441-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZELL",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101019310",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "OS13701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.