NPIMap

Individual provider Active NPI

Nicole Martin, FNP-C

  • Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1194588723
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11030967 Issued in FL
Practice address
7901 4TH St N # 29836
St Petersburg, FL 33702-4305
Phone
(772) 297-0701
Fax
(772) 647-5596
NPI assigned
Feb 5, 2024
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11030967 FL Primary

Addresses

Primary practice location

7901 4TH St N # 29836
St Petersburg, FL 33702-4305

Mailing address

7901 4TH St N # 29836
St Petersburg, FL 33702-4305
Phone (772) 297-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220000240 FL Practitioner - Nurse Practitioner 8628412525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Healthcare Integration LLCGroup PAC ID 3476964438, 7 clinicians

Practice addresses (Care Compare)

3270 Suntree Blvd
Suite 208
Melbourne, FL 32940-7505
Phone (321) 622-4877

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Solutions & More LLC CurrentSince Feb 14, 2024 Accepting new patients
Advanced Healthcare Integration LLC CurrentSince Mar 1, 2026 Accepting new patients
Higher Calling Health Care, LLC CurrentSince Oct 10, 2025 Accepting new patients

Locations

3270 Suntree Blvd
Ste 208
Melbourne, FL 32940
Phone (321) 622-4877

1701 SE Hillmoor Dr
#7
Port St Lucie, FL 34952
Phone (772) 237-0736

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

Interoperability endpoints

  • Direct secure messaging: nicole.martin.1@25403.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1194588723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N # 29836",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "772-297-0701",
            "fax_number": "772-647-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N # 29836",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "772-297-0701",
            "fax_number": "772-647-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11030967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.