Individual provider Active NPI

Nicole Elizabeth Woodel Shoener, MD

  • Family Medicine Physician
  • Winter Garden, FL
National Provider Identifier
1386164473
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME162196 Issued in FL
Practice address
2200 Fowler Grove Blvd Ste 140
Winter Garden, FL 34787-5597
Phone
(407) 614-0528
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A167426 CA
Family Medicine Physician 207Q00000X T4291 TX
Family Medicine Physician 207Q00000X ME162196 FL Primary

Addresses

Primary practice location

2200 Fowler Grove Blvd Ste 140
Winter Garden, FL 34787-5597

Mailing address

2200 Fowler Grove Blvd Ste 140
Winter Garden, FL 34787-5597
Phone (407) 614-0528

Other names 1

  • Nicole Elizabeth Woodel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200713002402 CA Practitioner - Family Practice 1850714650 Reassigns benefits to 2 organizations
I20230926001311 FL Practitioner - Family Practice 1850714650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

2200 Fowler Grove Blvd
Suite 140
Winter Garden, FL 34787-5597
Phone (407) 614-0528

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A167426CAMDFamily Medicine Physician
T4291TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 23, 2023 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Clinica de Salud del Valle de Salinas Current Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Clinica de Salud del Valle de Salinas CurrentSince Nov 1, 2024 Accepting new patients

Locations

219 N Sanborn Rd
Salinas, CA 93905
Phone (831) 757-1365

2180 N Main St
Salinas, CA 93906
Phone (225) 281-9874

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

55 Plaza Cir
Ste A
Salinas, CA 93901
Phone (831) 757-0434

1441 Constitution Blvd
Bldg 400
Salinas, CA 93906
Phone (831) 204-7411

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2200 Fowler Grove Blvd
Ste 140
Winter Garden, FL 34787
Phone (407) 614-0528

Interoperability endpoints

  • Direct secure messaging: nicole.woodel.p1@direct.csvs.nextgenshare.com
  • Direct secure messaging: nwoodelshoener1448845@adventhealth.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 3

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1386164473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "407-614-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "407-614-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEL SHOENER",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A167426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4291",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WOODEL",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.