Andrea Nicholas, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP 2854132 Issued in FL

Practice address

209 82ND Street
Holmes Beach, FL 34217

Phone

(941) 545-1296

Fax

(941) 761-6580

NPI assigned

Jun 23, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Florida Home Care Inc Home health agency, Tampa, FL, CCN 687063
• Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
• HCA Florida Healthcare at Home Home health agency, Bradenton, FL, CCN 107656
• Empath Tidewell Hospice Hospice, Sarasota, FL, CCN 101521

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• A Mobile Healthcare LLC

  • Nurse Practitioner
  • Holmes Beach, FL
  • NPI 1417475013
  Medicare reassignment Authorized official

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

• Doctor's Choice Home Care, LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Bradenton, FL
  • NPI 1104082932
  Care Compare affiliation
• Hestia Healthcare at Home, LLC

  dba HCA Florida Healthcare at Home

  • Home Health Agency
  • Bradenton, FL
  • NPI 1194874776
  Care Compare affiliation
• Southwest Florida Home Care Inc

  • Home Health Agency
  • Tampa, FL
  • NPI 1962051953
  Care Compare affiliation
• Tidewell Hospice, Inc.

  dba Empath Tidewell Hospice

  • Community Based Hospice Care Agency
  • Sarasota, FL
  • NPI 1417954645
  Care Compare affiliation

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134570930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14669",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804669",
            "telephone_number": "941-999-2560",
            "fax_number": "941-209-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 82ND STREET",
            "city": "HOLMES BEACH",
            "state": "FL",
            "postal_code": "34217",
            "telephone_number": "941-545-1296",
            "fax_number": "941-761-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "ANDREA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 2854132",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 2854132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen a. Schubel D.C., P.a.
• Lev Klempner, M.D.
• Scott L Kosfeld, MD
• Rick Lasavath
• Sandra Ann Lindstrom, PA
• Drashti Darshan Patel
• Paul J Barrese MD PA
• Stephen G Pelham, MD
• Publix Super Markets, Inc. (Publix Pharmacy #0681)
• Reed Fitness and Physical Therapy

• Gerontology Nurse Practitioner in Holmes Beach, FL
• Providers in Holmes Beach, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.