Nicole A Shafar, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP9309557 Issued in FL

Practice address

7649 W Colonial Dr Ste 115
Orlando, FL 32818-7423

Phone

(407) 522-2080

Fax

(833) 963-0115

NPI assigned

Nov 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Nicole A Bridgman Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care FL Inc.Group PAC ID 9830184738, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: nicole.bridgman.1@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care FL Inc

  dba CenterWell Senior Primary Care of Hoffner

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487686705
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care FL JV PLLC

  dba Conviva Philips Highway

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1003643214
  Medicare reassignment NPD
• Centerwell Senior Primary Care (FL) Inc.

  dba CenterWell Senior Primary Care of BVL

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1215980214
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  dba CenterWell Senior Primary Care of Altamonte

  • Internal Medicine Physician
  • Altamonte Springs, FL
  • NPI 1306899307
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  dba CenterWell Senior Primary Care of Downtown

  • Internal Medicine Physician
  • Saint Cloud, FL
  • NPI 1487680252
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  dba CenterWell Senior Primary Care of Apopka

  • Internal Medicine Physician
  • Apopka, FL
  • NPI 1720031719
  NPD
• Centerwell Senior Primary Care (FL) Inc.

  dba CenterWell Senior Primary Care of Soldier City

  • Internal Medicine Physician
  • Saint Cloud, FL
  • NPI 1831083187
  NPD
• Centerwell Senior Primary Care FL Inc

  dba CenterWell Senior Primary Care of Winter Park

  • Family Medicine Physician
  • Miami, FL
  • NPI 1295804136
  NPD
• Centerwell Senior Primary Care FL JV PLLC

  dba Conviva Hudson

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1356178578
  NPD
• Centerwell Senior Primary Care FL JV PLLC

  dba Conviva St Petersburg

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1467279083
  NPD
• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1003646308
  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1790227494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 W COLONIAL DR STE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328187423",
            "telephone_number": "407-522-2080",
            "fax_number": "833-963-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFAR",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9309557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.bridgman.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7649 W Colonial Dr Ste 115",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328187423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRIDGMAN",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nadia Shadani, DMD
• Rachel Shaddock, PHARMD
• Paige Leann Shade, CNM
• Reggie Perez Shadrick, M.A. CCC-SLP
• Bethany Shaeffer
• Benjamin Shafer, RBT
• Stephen D Shafer, DMD
• Shaffer Chiropractic Center
• Ashley Louise Shaffer
• Hannah Shaffer, RCSWI

• Gerontology Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.

Verify at the official NPI Registry.