Active NPI
Nicola Jane Cutter, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11033814
- Practice address
- 400 Health Park Blvd
St Augustine, FL 32086-5784 - Phone
- (904) 819-4560
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11033814 | FL | Primary |
Addresses
Primary practice location
400 Health Park Blvd
St Augustine, FL 32086-5784
Mailing address
328 Valverde LN
St Augustine, FL 32086-8887
Phone (904) 806-9048
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
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615
400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 823-1447
Hospital & facility affiliations
- Flagler Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11033814 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villages Regional Hospital Physician Services LLC | Current | Accepting new patients | |
| Florida Center for TMS | Current | Accepting new patients |
Locations
400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300
17 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 429-7076
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
Interoperability endpoints
- ncutter743603@direct.shands.ufl.edu
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 and National Provider Directory roles.
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
- Psychiatry Physician
- Saint Augustine, FL
- NPI 1497278584
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1609612381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 VALVERDE LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320868887",
"telephone_number": "904-806-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "904-819-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTTER",
"first_name": "NICOLA",
"middle_name": "JANE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11033814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.