Individual provider Active NPI

Nicole Wilcox, NP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1386214161
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012970 Issued in FL
Practice address
8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone
(239) 437-5755
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 APRN11012970 FL Primary

Addresses

Primary practice location

8260 Gladiolus Dr
Fort Myers, FL 33908-4156

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 432-8500

Other practice location 1

1320 SE 8th St
Cape Coral, FL 33990-2952
Phone (239) 939-0999

Other practice location 2

9550 Bonita Beach Rd SE Ste 108
Bonita Springs, FL 34135-4771
Phone (239) 939-0999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole.wilcox.1@22073.direct.athenahealth.com Health Information Exchange (HIE)

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
I20210831001491 FL Practitioner - Nurse Practitioner 5597161547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Nephrology Butcher and Devacaanthan MD PAGroup PAC ID 4587567953, 21 clinicians
Mogilishetty PLLCGroup PAC ID 0648680579, 7 clinicians

Practice addresses (Care Compare)

14560 Hope Ctr Loop
Fort Myers, FL 33912
Phone (239) 939-0999

3400 Lee Blvd
Suite 112
Lehigh Acres, FL 33971-1309
Phone (239) 939-0999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012970FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mogilishetty PLLC CurrentSince Jul 1, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jul 1, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

9550 Bonita Beach Rd SE
Ste 108
Bonita Springs, FL 34135
Phone (239) 444-1919

1320 SE 8th St
Cape Coral, FL 33990

8260 Gladiolus Dr
Fl Cancer
Fort Myers, FL 33908
Phone (239) 437-5755

7981 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 425-6633

12670 New Brittany Blvd
Ste 102
Fort Myers, FL 33907
Phone (239) 900-1236

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755

3400 Lee Blvd
Ste 112
Lehigh Acres, FL 33971

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1386214161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-432-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 GLADIOLUS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084156",
            "telephone_number": "239-437-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 SE 8th St",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339902952",
            "country_code": "US",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9550 Bonita Beach Rd SE Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354771",
            "country_code": "US",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.wilcox.1@22073.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7981 Gladiolus Dr",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339084154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.