Individual provider Active NPI

Erin Joan Nienke, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1497485908
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020136 Issued in FL
Practice address
104 Main St N
Saint Petersburg, FL 33716-1342
Phone
(727) 267-1136
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11020136 FL
Family Nurse Practitioner 363LF0000X 11020136 FL Primary

Addresses

Primary practice location

104 Main St N
Saint Petersburg, FL 33716-1342

Mailing address

104 Main St N
Saint Petersburg, FL 33716-1342
Phone (727) 267-1136

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
I20250520003948 FL Practitioner - Nurse Practitioner 8921526120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians

Practice addresses (Care Compare)

6000 49TH St N
St Petersburg, FL 33709-2114
Phone (727) 521-4411

6006 49TH St N
Suite 310
Saint Petersburg, FL 33709-2149
Phone (727) 345-2929

602 S Audubon Ave
Suite a
Tampa, FL 33609-4217
Phone (813) 877-1415

6500 38TH Ave N
St Petersburg, FL 33710-1629
Phone (727) 384-1414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020136FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Family Practice LLC CurrentSince Jul 14, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Oct 23, 2025 Accepting new patients

Locations

7981 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 425-6633

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

1609 Pasadena Ave S
Ste 3M
South Pasadena, FL 33707
Phone (727) 289-7137

6450 38th Ave N
Ste 310
St Petersburg, FL 33710
Phone (727) 333-5420

6006 49th St N
Ste 310
St Petersburg, FL 33709
Phone (727) 345-2929

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ecoriale384124@orlandohealth.medalliesdirect.net
  • Direct secure messaging: erin.nienke@hca4.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1497485908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161342",
            "telephone_number": "727-267-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161342",
            "telephone_number": "727-267-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENKE",
        "first_name": "ERIN",
        "middle_name": "JOAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11020136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.