Active NPI
Nicole J Syverson
- Gerontology Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1427939180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11041927
- Practice address
- 12832 True Blue Cir
Bradenton, FL 34211-1243 - Phone
- (847) 532-8705
- NPI assigned
- Sep 9, 2025
- Last updated
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11041927 | FL | Primary |
Addresses
Primary practice location
12832 True Blue Cir
Bradenton, FL 34211-1243
Mailing address
12832 True Blue Cir
Bradenton, FL 34211-1243
Phone (847) 532-8705
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
778 Liberty Rd
Flowood, MS 39232-9321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11041927 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Management Specialists, LLC | Current | Accepting new patients |
Locations
778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794
Organizations & group practices 1
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": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1427939180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12832 TRUE BLUE CIR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342111243",
"telephone_number": "847-532-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12832 TRUE BLUE CIR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342111243",
"telephone_number": "847-532-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYVERSON",
"first_name": "NICOLE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11041927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.