Individual provider Active NPI

Nicole Carter, ARNP

  • Adult Health Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1245757327
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9248878 Issued in FL
Practice address
809 CR 466 Ste 302
Lady Lake, FL 32159-3215
Phone
(352) 391-1750
Fax
(352) 391-1752
NPI assigned
Aug 29, 2017
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9248878 FL Primary

Addresses

Primary practice location

809 CR 466 Ste 302
Lady Lake, FL 32159-3215

Mailing address

809 CR 466 Ste 302
Ste 302
Lady Lake, FL 32159
Phone (352) 391-1750

Other practice location 1

8404 US Highway 441
Leesburg, FL 34788-4016
Phone (352) 315-8881

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
I20220524001831 FL Practitioner - Nurse Practitioner 3577940907 Reassigns benefits to 1 organization

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
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9248878FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somnicare Anesthesia Inc CurrentSince Sep 28, 2021 Accepting new patients
Somnicare Anesthesia & Spine Intervention Specialist, Inc CurrentSince Apr 1, 2022 Accepting new patients
Medical Ventures of America LLC PastSince Jan 1, 2016 Accepting new patients

Locations

201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875

201 W Guava St
Ste 202
Lady Lake, FL 32159
Phone (352) 391-1750

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.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1245757327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CR 466 STE 302",
            "address_2": "STE 302",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-391-1750",
            "fax_number": "352-391-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CR 466 STE 302",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593215",
            "telephone_number": "352-391-1750",
            "fax_number": "352-391-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8404 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347884016",
            "country_code": "US",
            "telephone_number": "352-315-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9248878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.