Nicole Blankman, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11019153 Issued in FL

Practice address

490 Centre Lake Dr NE Ste 200
Palm Bay, FL 32907-1189

Phone

(321) 821-4950

Fax

(321) 821-4955

NPI assigned

Mar 20, 2023

Last updated

Jul 10, 2025By the provider in NPPES

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 names 1

• Nicole Danella Former name

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JM Holdings of Brevard IncGroup PAC ID 1254637978, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: nicole.blankman.1@32269.direct.athenahealth.com

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.

• JM Holdings of Brevard Inc

  dba Brevard Regional Hyperbaric Center

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1477910149
  Medicare reassignment Care Compare group NPD
• Medfast Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1285735605
  Medicare reassignment NPD
• Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Port Orange, FL
  • NPI 1174262232
  NPD
• Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Sebastian, FL
  • NPI 1376421479
  NPD
• Rockledge Hbot LLC

  dba Rockledge Hyperbaric and Wound Care Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Rockledge, FL
  • NPI 1508725912
  NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1407558042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 VAN CAMP AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095656",
            "telephone_number": "321-615-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CENTRE LAKE DR NE STE 200",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071189",
            "telephone_number": "321-821-4950",
            "fax_number": "321-821-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKMAN",
        "first_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DANELLA",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, 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 Jul 10, 2025; 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.