Individual provider Active NPI

Nicole Lynn Gress, CNM

  • Advanced Practice Midwife
  • St Augustine, FL
National Provider Identifier
1679045330
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11011386 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507000061 FL Practitioner - Certified Nurse Midwife (CNM) 9638418684 Reassigns benefits to 2 organizations

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
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

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

LicenseStateTypeSpecialty
APRN11011386FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Advanced Practice Midwife CurrentSince May 10, 2021 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince May 10, 2021 Accepting new patients
Vijayselwyn Davis Dhas MD PastSince May 1, 2021 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

  • Direct secure messaging: ngress742732@direct.shands.ufl.edu
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.