Active NPI
Jennifer Lynn Nickol, D.O
- Advanced Heart Failure and Transplant Cardiology Physician
- Gainesville, FL
National Provider Identifier
1932620895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- OS23686
- Practice address
- 1505 SW Archer Rd
Gainesville, FL 32608-1134 - Phone
- (352) 265-9928
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS16938 | FL | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | OS23686 | FL | Primary |
Addresses
Primary practice location
1505 SW Archer Rd
Gainesville, FL 32608-1134
Mailing address
PO Box 100288
Gainesville, FL 32610-0277
Phone (352) 273-9079
Other practice location 1
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Single Specialty | Current | Accepting new patients |
Locations
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Organizations & group practices 1
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": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1932620895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100288",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100277",
"telephone_number": "352-273-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081134",
"telephone_number": "352-265-9928"
}
],
"practiceLocations": [
{
"address_1": "1300 Miccosukee Rd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323085054",
"country_code": "US",
"telephone_number": "850-431-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICKOL",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS16938",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "FL",
"license": "OS23686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.