Active NPI
Nicole Ann Spall, APRN-BC
- Family Nurse Practitioner
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9287830
- Practice address
- 1507 S Tuttle Ave
Sarasota, FL 34239-2608 - Phone
- (301) 722-0484
- Fax
- (833) 903-0130
- NPI assigned
- Sep 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9287830 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9287830 | FL |
Addresses
Primary practice location
1507 S Tuttle Ave
Sarasota, FL 34239-2608
Mailing address
157 Baltimore St Ste 102
Cumberland, MD 21502-2472
Phone (301) 722-0148
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 57.45 of 100
- Quality
- 33.03
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 75.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9287830 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitional Pain & Specialty Group | Current | Accepting new patients | |
| Rmed LLC | Current | Accepting new patients | |
| Direct Access Counseling & Supportive Services, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Novus Pain & Physical Medicine - Florida, LLC | Current | Accepting new patients | |
| Healnexxt Woundcare LLC | Current | Accepting new patients | |
| Rmed LLC | Current | Accepting new patients | |
| Healmi Technologies, LLC | Past | Accepting new patients |
Locations
211 E Main St
Lakeland, FL 33801
Phone (863) 216-8567
23110 State Road 54
Lutz, FL 33549
Phone (727) 808-7123
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137
1307 W Kennedy Blvd
Tampa, FL 33606
Phone (813) 495-5567
48 High Point Rd
Tavernier, FL 33070
Phone (305) 853-0799
7350 Dairy Rd
Zephyrhills, FL 33540
Phone (813) 715-7526
157 Baltimore St
Ste 102
Cumberland, MD 21502
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, FL
- NPI 1679011449
Psychiatric/Mental Health
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sarasota, FL
- NPI 1518500263
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1508815358
-
- Interventional Pain Medicine Physician
- Tampa, FL
- NPI 1205569233
-
- Nurse Practitioner
- Lakeland, FL
- NPI 1942013032
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1205476793
-
- Podiatrist
- St Petersburg, FL
- NPI 1508433632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1780167809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST STE 102",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022472",
"telephone_number": "301-722-0148",
"fax_number": "833-903-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 S TUTTLE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392608",
"telephone_number": "301-722-0484",
"fax_number": "833-903-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPALL",
"first_name": "NICOLE",
"middle_name": "ANN",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9287830",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9287830",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.