Individual provider Active NPI

Nicole Marie Soos, DO

  • Family Medicine Physician
  • Fernandina Beach, FL
National Provider Identifier
1497115133
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS21374 Issued in FL
Practice address
910 S 8TH St Ste 121
Fernandina Beach, FL 32034-6700
Phone
(517) 927-5460
NPI assigned
Feb 23, 2016
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101022617 MI
Family Medicine Physician 207Q00000X OS21374 FL Primary

Addresses

Primary practice location

910 S 8TH St Ste 121
Fernandina Beach, FL 32034-6700

Mailing address

910 S 8TH St Ste 121
Fernandina Beach, FL 32034-6700
Phone (517) 927-5460

Other names 1

  • Nicole Marie Barrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180305000823 MI Practitioner - Family Practice 1355602541 Reassigns benefits to 3 organizations
I20240829004745 FL Practitioner - Family Practice 1355602541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1210 Vintage Way
Fernandina Beach, FL 32034-0299
Phone (904) 261-0922

45465 5TH Ave
Callahan, FL 32011-3901
Phone (904) 879-4544

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince May 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jan 1, 2022 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Capital Internal Medicine Associates P.C. Family Medicine CurrentSince Oct 21, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Paul N Deweese MD PLC PastSince Oct 21, 2019 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine Past Accepting new patients

Locations

45465 Fifth Ave
Callahan, FL 32011
Phone (904) 879-4544

1348 S 18th St
Ste 100
Fernandina Beach, FL 32034
Phone (904) 261-0878

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

8175 Reliable Pkwy
Chicago, IL 60686

1650 Haslett Rd
Haslett, MI 48840
Phone (517) 339-3200

1650 Haslett Rd
Ste 1
Haslett, MI 48840
Phone (517) 339-3200

1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614

3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

230 Temple St
Mason, MI 48854
Phone (517) 676-4545

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

2446 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 253-5530

Interoperability endpoints

  • Direct secure messaging: nsoos179878@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1497115133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S 8TH ST STE 121",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320346700",
            "telephone_number": "517-927-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S 8TH ST STE 121",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320346700",
            "telephone_number": "517-927-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101022617",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS21374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BARRETT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.