Individual provider Active NPI

Nicole Lynn Beiser, NP-C

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1821437286
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9284252 Issued in FL
Practice address
1701 SE Hillmoor Dr Ste 17
Port Saint Lucie, FL 34952-7552
Phone
(772) 528-3497
Fax
(772) 404-7960
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 9284252 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr Ste 17
Port Saint Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr Ste 17
Port Saint Lucie, FL 34952-7552

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
I20130725000966 FL Practitioner - Nurse Practitioner 9739320250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Enhanced Integrative Health P.a.Group PAC ID 3870998495, 3 clinicians

Practice addresses (Care Compare)

1655 SE Walton Rd
Savannas Park Health and Rehab
Port St Lucie, FL 34952-7657
Phone (772) 337-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9284252FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Physician Services LLC CurrentSince Feb 25, 2025 Accepting new patients
Enhanced Integrative Health P.a. CurrentSince Dec 10, 2024 Accepting new patients
Cape Coral Hospitalists Inc CurrentSince Jul 15, 2013 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

3601 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 208-3057

1655 SE Walton Rd
Port St Lucie, FL 34952
Phone (772) 337-1333

Organizations & group practices 3

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1821437286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 17",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 17",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-528-3497",
            "fax_number": "772-404-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEISER",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9284252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.