Nicole Nelson, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-123486 Issued in AL

Practice address

1609 Mockingbird CT
Florence, AL 35630-7510

Phone

(256) 320-7781

Fax

(256) 320-7776

NPI assigned

Feb 6, 2017

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

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.

• Southern NP Associates, LLC

  • Adult Health Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1407257447
  Medicare reassignment Care Compare group
• Alabama Mso LLC

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1740073980
  Medicare reassignment NPD
• Remedy Behavioral Health, LLC

  • Psychiatry Physician
  • Florence, AL
  • NPI 1013517317
  Medicare reassignment NPD
• Remedy Healthcare LLC

  • Internal Medicine Physician
  • Florence, AL
  • NPI 1477233476
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  AL

  Medicare reassignment NPD
• Eastern Hospital Medicine PC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1104859123
  Medicare reassignment
• Shoals NP Homecare, LLC

  • Home Health Agency
  • Town Creek, AL
  • NPI 1083178818
  NPD
• Russellville Hospital Inc

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1033671631
  NPD (past)

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1851839203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MOCKINGBIRD CT STE B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307511",
            "telephone_number": "256-320-7781",
            "fax_number": "256-320-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MOCKINGBIRD CT",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307510",
            "telephone_number": "256-320-7781",
            "fax_number": "256-320-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-123486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Napier, MA
• Autumn Rose Nation, BCBA, LBA
• National Vision Inc
• Radhika Pravinbhai Navadiya, MD
• Kimberly Barton Neal, M.A.
• Robert James Nelson, PHARM D
• Aryan Neupane, MD
• Neurosurgery Shoals, Inc
• New Beacon Healthcare Group, LLC
• Gerald Lane Newbern, R.PH.

• Gerontology Nurse Practitioner in Florence, AL
• Providers in Florence, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.