Individual provider Active NPI

Nicole Marie Sousa, FNP-BC

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1255744710
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9297140 Issued in FL
Practice address
224 Chimney Corner LN
Suite 1026
Jupiter, FL 33458-4800
Phone
(561) 743-7766
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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 ARNP9297140 FL Primary

Addresses

Primary practice location

224 Chimney Corner LN
Suite 1026
Jupiter, FL 33458-4800

Mailing address

143 Yacht Club Dr Apt 14
North Palm Beach, FL 33408-3980
Phone (561) 797-1303

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
I20141014002204 FL Practitioner - Nurse Practitioner 3779704895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

5430 Military TRL
Suite 64
Jupiter, FL 33458-2873
Phone (561) 263-7010

7035 Beracasa Way
Boca Raton, FL 33433-3405
Phone (561) 361-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Nov 25, 2025 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Apr 1, 2024 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Bassam Sayegh MD PA CurrentSince Jul 14, 2014 Accepting new patients
MD Now Medical Centers Inc CurrentSince Nov 25, 2025 Accepting new patients

Locations

7035 Beracasa Way
Boca Raton, FL 33433
Phone (561) 361-1515

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

5430 Military Trl
Ste 64
Jupiter, FL 33458
Phone (561) 263-7010

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

224 Chimney Corner Ln
Ste 1026
Jupiter, FL 33458
Phone (561) 743-7766

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

3250 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 263-5775

Interoperability endpoints

  • Direct secure messaging: nsousa27574@jupitermedicalcenter.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1255744710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 YACHT CLUB DR APT 14",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083980",
            "telephone_number": "561-797-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CHIMNEY CORNER LN",
            "address_2": "SUITE 1026",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584800",
            "telephone_number": "561-743-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9297140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.