Individual provider Active NPI

Nicole Heller, APRN-BC

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1487326948
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015712 Issued in FL
Practice address
40 SW 1St Ave
Ocala, FL 34471-1102
Phone
(352) 512-0631
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 11015712 FL Primary

Addresses

Primary practice location

40 SW 1St Ave
Ocala, FL 34471-1102

Mailing address

2212 SE 14TH St
Ocala, FL 34471-2645
Phone (352) 229-3905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole@faithfullyguided.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804003413 FL Order and Referring Only - Family PracticePractitioner - Family Practice 8628450848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11015712FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faithfully Guided Health Center PastSince Oct 10, 2021 Accepting new patients
Melvin M. Seek, MD, PA PastSince Oct 10, 2021 Accepting new patients

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1487326948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 SE 14TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712645",
            "telephone_number": "352-229-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711102",
            "telephone_number": "352-512-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "NICOLE",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@faithfullyguided.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 SW 1st Ave",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344711102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.