Individual provider Active NPI

Nicole Cheremond, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1326358144
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9372961 Issued in FL
Practice address
3000 Medical Park Dr Ste 510
Tampa, FL 33613-6602
Phone
(813) 872-4492
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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 ARNP9372961 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 510
Tampa, FL 33613-6602

Mailing address

3000 Medical Park Dr
Ste 510
Tampa, FL 33613-6602
Phone (813) 872-4492

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
I20180109003088 FL Practitioner - Nurse Practitioner 0446519912 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
Telehealth
Offers telehealth services
Group practices
Manatee Senior CareGroup PAC ID 7911328273, 8 clinicians

Practice addresses (Care Compare)

4112 53Rd Ave E
Suite 20478
Bradenton, FL 34203-5512
Phone (800) 605-3182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9372961FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Senior Care CurrentSince Feb 14, 2025 Accepting new patients

Organizations & group practices 1

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1326358144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR",
            "address_2": "STE 510",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136602",
            "telephone_number": "813-872-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 510",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136602",
            "telephone_number": "813-872-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEREMOND",
        "first_name": "NICOLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9372961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.