Michael Louis Nieder, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME91975 Issued in FL

Practice address

625 6TH Ave S Ste 305
St Petersburg, FL 33701-4664

Phone

(727) 321-3854

Fax

(727) 800-5829

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88 of 100Reported as group

Quality

74.04

Promoting interoperability

100

Improvement activities

40

Cost

70.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.nieder@direct.moffitt.org

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.

• Metropolitan Charities Inc

  dba Metro Healthy Communities

  • Federally Qualified Health Center (FQHC)
  • St Petersburg, FL
  • NPI 1013277060
  Medicare reassignment NPD
• Childrens Research Foundation of Cleveland

  • Pediatrics Physician
  • Cleveland, OH
  • NPI 1881634665

  Pediatric Hematology-Oncology

  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1295710218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 94TH AVE N STE 250",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022448",
            "telephone_number": "727-321-3854",
            "fax_number": "727-800-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014664",
            "telephone_number": "727-321-3854",
            "fax_number": "727-800-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDER",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015609600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelyn M Nickerson, PA-C
• Michael Scott Nickerson, MS, ARNP-C, COHN-S
• Nicole Agresto, Psychology P.a.
• Krissle Nicome, APRN
• Abigail Grace Niebrugge, BCABA
• Michael Gene Niederbrach Jr.
• Regan Elizabeth Niemann
• Erin Joan Nienke, APRN
• Thomas Nienke, DO
• Fawn Arlene Nieuwenhoff, ARNP

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.