Individual provider Active NPI

Nicole Adams, P.A.-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1194153346
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113465 Issued in FL
Practice address
1950 Arlington St Ste 400
Sarasota, FL 34239-3513
Phone
(941) 917-4250
Fax
(941) 917-4257
NPI assigned
Oct 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 007504 GA
Physician Assistant 363A00000X PA9113465 FL Primary
Physician Assistant 363A00000X 017149 NY
Physician Assistant 363A00000X 7518 AZ

Addresses

Primary practice location

1950 Arlington St Ste 400
Sarasota, FL 34239-3513

Mailing address

1950 Arlington St Ste 400
Sarasota, FL 34239-3513
Phone (941) 917-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241220002972 OK Practitioner - Physician Assistant 1052631819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5348OKMDInternal Medicine Physician
PA9113465FLMDPhysician Assistant
017149NYMDPhysician Assistant
007504GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Oct 6, 2024 Accepting new patients
Heart Specialists of Sarasota PL CurrentSince Dec 31, 2023 Accepting new patients

Locations

1950 Arlington St
Ste 400
Sarasota, FL 34239
Phone (941) 225-6006

1200 Childrens Ave
Ste 2F
Oklahoma City, OK 73104
Phone (405) 271-4411

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: nadams782261@direct.hopkinsmedicine.org

Organizations & group practices 3

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": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1194153346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST STE 400",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393513",
            "telephone_number": "941-917-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST STE 400",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393513",
            "telephone_number": "941-917-4250",
            "fax_number": "941-917-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "NICOLE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "007504",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113465",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017149",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.