Individual provider Active NPI

Nicole Bathory, APRN

  • Family Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1497253967
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9220828 Issued in FL
Practice address
3691 Tamiami TRL
Punta Gorda, FL 33950-7228
Phone
(941) 347-8912
NPI assigned
Jan 30, 2018
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 9220828 FL Primary

Addresses

Primary practice location

3691 Tamiami TRL
Punta Gorda, FL 33950-7228

Mailing address

3691 Tamiami TRL
Punta Gorda, FL 33950-7228
Phone (239) 560-5161

Other names 1

  • Nicole Lee Bathory Other name

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
I20190114002482 FL Practitioner - Nurse Practitioner 6800023045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Plus LLCGroup PAC ID 5799174900, 3 clinicians

Practice addresses (Care Compare)

3691 Tamiami TRL
Punta Gorda, FL 33950-7228
Phone (941) 347-8912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9220828FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Plus LLC CurrentSince Jan 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Oct 1, 2018 Accepting new patients
Millennium Physician Group LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

31075 Cortez Blvd
Brooksville, FL 34602
Phone (352) 796-5303

13691 Metro Pkwy
Ste 330
Fort Myers, FL 33912
Phone (239) 310-5307

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

2315 Aaron St
Port Charlotte, FL 33952
Phone (855) 674-7700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

21297 Olean Blvd
#A
Pt Charlotte, FL 33952
Phone (855) 979-5700

3691 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 347-8912

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24992/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicole.cutaia.1@24992.direct.athenahealth.com

Organizations & group practices 3

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1497253967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 TAMIAMI TRL",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507228",
            "telephone_number": "239-560-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 TAMIAMI TRL",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507228",
            "telephone_number": "941-347-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHORY",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9220828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BATHORY",
            "middle_name": "LEE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.