Nicole Cardiello

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11010407 Issued in FL

Practice address

1801 US Highway 441 BLDG 100
Leesburg, FL 34748-2545

Phone

(352) 460-4004

Fax

(352) 460-4003

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

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

Lakeview Healthcare System, LLCGroup PAC ID 8921074733, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBDHAD
• FHIR API: https://fhir4.healow.com/fhir/r4/FDDBCD

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.

• Lakeview Healthcare System, LLC

  • Internal Medicine Physician
  • Summerfield, FL
  • NPI 1841484979
  Medicare reassignment Care Compare group NPD
• Aegis Medical Group LLC

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1356769384
  Medicare reassignment NPD
• Pulse Medical Doctors LLC

  • Internal Medicine Physician
  • Lady Lake, FL
  • NPI 1033649868
  Medicare reassignment NPD
• Lakeview Healthcare System, LLC

  • Specialist
  • Leesburg, FL
  • NPI 1215694674
  NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1346845039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 US HIGHWAY 441 BLDG 100",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482545",
            "telephone_number": "352-460-4004",
            "fax_number": "352-460-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDIELLO",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109304300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Loy Campbell Jr., LCSW
• Cancer Centers of Central Florida PA
• Paul Capell, PMHNP
• Amanda Walker Caravella, BCBA
• Cardiac Specialty Institute LLC
• Alba Patricia Cardona, ARNP
• Pablo Doldy Cardona, M.D.
• Care Delivery Alliance
• Carehere LLC
• Caring Heart Rehabilitation and Nursing Center Inc.

• Family Nurse Practitioner in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.