Individual provider Active NPI

Nicole Simone Gillings, APRN

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1447914148
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015165 Issued in FL
Practice address
221 Frontage Rd Unit G
Clermont, FL 34711-2431
Phone
(863) 588-4775
Fax
(863) 422-7664
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 11015165 FL Primary

Addresses

Primary practice location

221 Frontage Rd Unit G
Clermont, FL 34711-2431

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Other practice location 1

2705 Maguire Rd
Ocoee, FL 34761-4797
Phone (863) 588-4775

Other identifiers 2

IdentifierTypeStateIssuer
11015165OtherFLAPRN LICENSE
113005000MedicaidFL

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
I20220214001515 FL Practitioner - Nurse Practitioner 3678966769 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015165FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soni Family Practice, PLLC CurrentSince Oct 6, 2025 Accepting new patients
SFP PC Holdings, Inc. PastSince Jun 15, 2025 Accepting new patients

Locations

221 N Highway 27
Unit G
Clermont, FL 34711
Phone (352) 242-5155

106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664

2705 Maguire Rd
Ocoee, FL 34761
Phone (407) 574-2880

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nicole.gillings.1@6807.direct.athenahealth.com

Organizations & group practices 2

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1447914148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 FRONTAGE RD UNIT G",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112431",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 Maguire Rd",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614797",
            "country_code": "US",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLINGS",
        "first_name": "NICOLE",
        "middle_name": "SIMONE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "11015165",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113005000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.