Individual provider Active NPI

Nicole Gergenti, APRN, FNP-C

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1679298350
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022246 Issued in FL
Practice address
2180 Immokalee Rd Ste 101
Naples, FL 34110-1422
Phone
(239) 514-2225
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022246 FL Primary

Addresses

Primary practice location

2180 Immokalee Rd Ste 101
Naples, FL 34110-1422

Mailing address

6686 Kestrel Cir
Fort Myers, FL 33966-1365
Phone (239) 677-5737

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
I20250122001674 FL Practitioner - Nurse Practitioner 5193254001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Gulf Coast Ear Nose and Throat LLCGroup PAC ID 0042249625, 12 clinicians

Practice addresses (Care Compare)

2180 Immokalee Rd
Suite 101
Naples, FL 34110-1422
Phone (239) 514-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11022246FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floridagulfcoast Earnoseandthroat LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

9250 Corkscrew Rd
Ste 7
Estero, FL 33928
Phone (239) 498-2528

2180 Immokalee Rd
Ste 101
Naples, FL 34110
Phone (239) 514-2225

Organizations & group practices 1

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1679298350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6686 KESTREL CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661365",
            "telephone_number": "239-677-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101422",
            "telephone_number": "239-514-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGENTI",
        "first_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.