Individual provider Active NPI

Nicole Ann Spall, APRN-BC

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1780167809
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9287830 Issued in FL
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

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181114002305 FL Practitioner - Nurse Practitioner 0143574962 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
57.45 of 100Reported as group
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

LicenseStateTypeSpecialty
ARNP9287830FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Pain & Specialty Group CurrentSince Aug 27, 2025 Accepting new patients
Rmed LLC CurrentSince Jan 1, 2025 Accepting new patients
Direct Access Counseling & Supportive Services, LLC Psychiatric/Mental Health CurrentSince Mar 29, 2023 Accepting new patients
Novus Pain & Physical Medicine - Florida, LLC CurrentSince Oct 1, 2025 Accepting new patients
Healnexxt Woundcare LLC CurrentSince Jan 31, 2025 Accepting new patients
Rmed LLC CurrentSince Jan 1, 2025 Accepting new patients
Healmi Technologies, LLC PastSince Jan 21, 2022 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.

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

Verify at the official NPI Registry.