Individual provider Active NPI

Nicole Andrea Bellonzi

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1326914284
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120871 Issued in FL
Practice address
10051 5TH St N
St Petersburg, FL 33702-2289
Phone
(813) 978-9700
Fax
(813) 558-6185
NPI assigned
Oct 16, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120871 FL Primary

Addresses

Primary practice location

10051 5TH St N
St Petersburg, FL 33702-2289

Mailing address

8222 Courtleigh Dr
Orlando, FL 32835-5936
Phone (507) 506-6146

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
I20260204001896 FL Practitioner - Physician Assistant 8325527914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10051 5TH St N
St Petersburg, FL 33702-2289
Phone (727) 527-5272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120871FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Musculoskeletal Institute Chartered Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Musculoskeletal Institute Chartered Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Feb 1, 2026 Accepting new patients

Locations

10051 5th St N
St Petersburg, FL 33702
Phone (727) 828-2314

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 219-1932

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

Organizations & group practices 5

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": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1326914284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 COURTLEIGH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355936",
            "telephone_number": "507-506-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022289",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLONZI",
        "first_name": "NICOLE",
        "middle_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.