Individual provider Active NPI

Nicole Overdiek, MD

  • Anesthesiology Physician
  • Punta Gorda, FL
National Provider Identifier
1710084231
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME79103 Issued in FL
Practice address
809 E Marion Ave
Punta Gorda, FL 33950-3819
Phone
(941) 637-2580
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME79103 FL Primary

Addresses

Primary practice location

809 E Marion Ave
Punta Gorda, FL 33950-3819

Mailing address

7434 S Seagrape Rd
Punta Gorda, FL 33955-1037
Phone (941) 916-4384

Other identifiers 1

IdentifierTypeStateIssuer
35928OtherFLBLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000504 FL Practitioner - Anesthesiology 9931291432 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Pinellas County Anesthesia Associates, LLCGroup PAC ID 3779971734, 62 clinicians

Practice addresses (Care Compare)

206 2ND St E
Manatee Memorial Hospital
Bradenton, FL 34208-1042
Phone (941) 746-5111

560 Jackson St N
Suite 200 St Petersburg Endoscopy Center
St Petersburg, FL 33705-1449
Phone (727) 820-7500

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Nov 1, 2015 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Jan 9, 2026 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Aug 10, 2023 Accepting new patients
Lakewood Ranch Anesthesia PL Anesthesiology CurrentSince Sep 7, 2019 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Nov 1, 2015 Accepting new patients
Pinellas County Anesthesia Associates, LLC Anesthesiology CurrentSince Jan 7, 2026 Accepting new patients
PBG Team Anesthesia PA Anesthesiology CurrentSince Jan 2, 2012 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Anesthesia & Pain Consultants of SW FL PastSince Jan 1, 2019 Accepting new patients
Peace River Anesthesiology Associates PA Past Accepting new patients
Sebastian River Anesthesiology Associates, P. a. Anesthesiology Past Accepting new patients
Harborside Surgery Center, LLC Past Accepting new patients
Anesthesia Assoc. of Palm Beach Gardens, PA Anesthesiology Past Accepting new patients
Central Brevard Anesthesiologists, PA Anesthesiology Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
West Florida Trauma Network, LLC PastSince Jan 20, 2019 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients

Locations (25 of 27)

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

616 E St
Clearwater, FL 33756
Phone (727) 443-0611

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2323 Curlew Rd
Ste 5
Dunedin, FL 34698
Phone (727) 388-7326

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

220 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 452-9799

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710084231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 S SEAGRAPE RD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339551037",
            "telephone_number": "941-916-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503819",
            "telephone_number": "941-637-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERDIEK",
        "first_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME79103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "35928",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.