Individual provider Active NPI

Nickolas Emmanuel Mileos, NP-C

  • Family Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1174039101
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010616 Issued in FL
Practice address
9852-54 Little Rd
New Port Richey, FL 34654
Phone
(727) 425-6902
Fax
(727) 425-6759
NPI assigned
Dec 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010616 FL Primary

Addresses

Primary practice location

9852-54 Little Rd
New Port Richey, FL 34654

Mailing address

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

Other practice location 1

2350 Alexander Cir Apt 203
Clearwater, FL 33763-1169
Phone (219) 808-4267

Other practice location 2

9852 Little Rd
New Port Richey, FL 34654-3470
Phone (727) 425-6902

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921003188 FL Practitioner - Nurse Practitioner 6103188453 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archwell Health Medical of Florida LLCGroup PAC ID 5597127456, 15 clinicians

Practice addresses (Care Compare)

9852 Little Rd
New Port Richey, FL 34654-3470
Phone (727) 425-6902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010616FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Archwell Health Medical of Florida, LLC CurrentSince Oct 6, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Sep 17, 2021 Accepting new patients
Foundation for Sickle Cell Disease Research CurrentSince Jun 1, 2025 Accepting new patients
Palm Medical Center Lakeland LLC CurrentSince Jun 9, 2025 Accepting new patients
Palm Medical Centers CurrentSince Jun 9, 2025 Accepting new patients
Health Holdings Company LLC Current Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600

5930 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 934-8525

9852 Little Rd
#54
New Port Richey, FL 34654

9852 Little Rd
New Port Richey, FL 34654
Phone (727) 425-6902

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

733 S Goldenrod Rd
Ste B
Orlando, FL 32822
Phone (407) 249-7999

35095 US Highway 19 N
Ste 100
Palm Harbor, FL 34684
Phone (727) 953-8404

2350 N University Dr
Unit 841224
Pembroke Pines, FL 33084

1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905

6233 Ridge Rd
Port Richey, FL 34668
Phone (727) 845-3333

4040 49th St N
St Petersburg, FL 33709
Phone (727) 526-6483

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

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: nickolas.mileos@direct.mybaycare.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEDDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1174039101",
    "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": "9852-54 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-425-6902",
            "fax_number": "727-425-6759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Alexander Cir Apt 203",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337631169",
            "country_code": "US",
            "telephone_number": "219-808-4267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9852 Little Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346543470",
            "country_code": "US",
            "telephone_number": "727-425-6902",
            "fax_number": "727-425-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILEOS",
        "first_name": "NICKOLAS",
        "middle_name": "EMMANUEL",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.