Active NPI
Denise Marie Nicely, WHNP
- Women's Health Nurse Practitioner
- Celebration, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN9172211
- Practice address
- 410 Celebration PL Ste 200
Celebration, FL 34747-5432 - Phone
- (407) 303-4220
- NPI assigned
- Feb 27, 2020
- Last updated
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APRN9172211 | FL | Primary |
Addresses
Primary practice location
410 Celebration PL Ste 200
Celebration, FL 34747-5432
Mailing address
11520 Dancing River Dr
Venice, FL 34292-4124
Phone (513) 571-7934
Other practice location 1
5100 Station Way
Sarasota, FL 34233-3221
Phone (941) 342-1568
Other practice location 2
5100 Station Way
Sarasota, FL 34233-3221
Phone (941) 342-1567
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
410 Celebration PL
Celebration, FL 34747-5432
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
410 Celebration Pl
Ste 200
Kissimmee, FL 34747
Phone (407) 303-4220
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
Networks
- Freedom Health HMO Network
Interoperability endpoints
- dnicely2123714@adventhealth.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1568096550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11520 DANCING RIVER DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342924124",
"telephone_number": "513-571-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CELEBRATION PL STE 200",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347475432",
"telephone_number": "407-303-4220"
}
],
"practiceLocations": [
{
"address_1": "5100 Station Way",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342333221",
"country_code": "US",
"telephone_number": "941-342-1568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5100 Station Way",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342333221",
"country_code": "US",
"telephone_number": "941-342-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICELY",
"first_name": "DENISE",
"middle_name": "MARIE",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN9172211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.