Individual provider Active NPI

Nicola Schmook

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1902372253
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9281993 Issued in FL
Practice address
2000 Nebraska Ave
Fort Pierce, FL 34950-4833
Phone
(772) 465-4444
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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 9281993 FL Primary

Addresses

Primary practice location

2000 Nebraska Ave
Fort Pierce, FL 34950-4833

Mailing address

10521 SW Village Drive Suite 104
Port Saint Lucie, FL 34987

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
I20190118000200 FL Practitioner - Nurse Practitioner 9739425380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9281993FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ian Boykin MD PA CurrentSince Oct 23, 2018 Accepting new patients
Treasure Coast Senior Care LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

2000 Nebraska Ave
Fort Pierce, FL 34950
Phone (772) 464-3657

Organizations & group practices 2

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1902372253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 SW VILLAGE DRIVE SUITE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEBRASKA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504833",
            "telephone_number": "772-465-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMOOK",
        "first_name": "NICOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9281993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.