Active NPI
Nicole Lynn Gress, CNM
- Advanced Practice Midwife
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11011386
- Practice address
- 301 Health Park Blvd Ste 219
Saint Augustine, FL 32086-5795 - Phone
- (904) 819-9898
- Fax
- (904) 819-9594
- NPI assigned
- Dec 19, 2018
- Last updated
- Jan 24, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APRN11011386 | FL | |
| Advanced Practice Midwife | 367A00000X | R40191 | ND | |
| Advanced Practice Midwife | 367A00000X | APRN11011386 | FL | Primary |
Addresses
Primary practice location
301 Health Park Blvd Ste 219
Saint Augustine, FL 32086-5795
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333
Other practice location 1
400 Burdick Expy E
Minot, ND 58701-4768
Phone (701) 857-7382
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Health Park Blvd
Suite 219
St Augustine, FL 32086-5795
Phone (904) 819-9898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011386 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Care Florida LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Vijayselwyn Davis Dhas MD | Past | Accepting new patients |
Locations
1680 Osceola Elementary Rd
Ste A
St Augustine, FL 32084
Phone (904) 284-5386
301 Health Park Blvd
Ste 219
St Augustine, FL 32086
Phone (904) 819-9898
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
5002 W Lemon St
Tampa, FL 33609
Interoperability endpoints
- ngress742732@direct.shands.ufl.edu
- nicole.gress@wcfnf.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Advanced Practice Midwife
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
dba OB-GYN of St Augustine
- Obstetrics & Gynecology Physician
- St Augustine, FL
- NPI 1053614305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1679045330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0333",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HEALTH PARK BLVD STE 219",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865795",
"telephone_number": "904-819-9898",
"fax_number": "904-819-9594"
}
],
"practiceLocations": [
{
"address_1": "400 Burdick Expy E",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587014768",
"country_code": "US",
"telephone_number": "701-857-7382",
"fax_number": "701-857-7399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRESS",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN11011386",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ND",
"license": "R40191",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11011386",
"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 Jan 24, 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.