Individual provider Active NPI

Breanna Nicole Nice

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1497649180
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11039637 Issued in FL
Practice address
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone
(941) 342-1100
NPI assigned
Jun 6, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11039637 FL Primary

Addresses

Primary practice location

5731 Bee Ridge Rd
Sarasota, FL 34233-5056

Mailing address

701 Manatee Ave W Ste 101
Bradenton, FL 34205-8624

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
I20250626000929 FL Practitioner - Nurse Practitioner 9830601632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Medical Associates PAGroup PAC ID 6800803289, 19 clinicians
Connexis Medical Services LLCGroup PAC ID 2163550518, 13 clinicians

Practice addresses (Care Compare)

425 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (863) 993-2966

5955 Rand Blvd
Sarasota, FL 34238-5160
Phone (941) 552-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11039637FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Medical Associates PA Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Connexis Medical Services LLC CurrentSince Oct 10, 2025 Accepting new patients
Arcadia Medical Associates PA Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

425 Nursing Home Dr
Ste 2
Arcadia, FL 34266

701 Manatee Ave W
Ste 101
Bradenton, FL 34205
Phone (941) 748-3065

5955 Rand Blvd
Sarasota, FL 34238
Phone (941) 552-7500

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1497649180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335056",
            "telephone_number": "941-342-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICE",
        "first_name": "BREANNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11039637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.