Individual provider Active NPI

Gloria Beatrice Nakalema

  • Hospitalist Physician
  • Port Charlotte, FL
National Provider Identifier
1942859285
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
APRN11003841 Issued in FL
Practice address
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone
(855) 979-5700
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003841 FL
Family Nurse Practitioner 363LF0000X APRN11003841 FL
Hospitalist Physician 208M00000X APRN11003841 FL Primary

Addresses

Primary practice location

2343 Aaron St
Port Charlotte, FL 33952-5305

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342

Other practice location 1

1905 W Busch Blvd
Tampa, FL 33612-7675
Phone (813) 365-3525

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
I20200713001847 FL Practitioner - Nurse Practitioner 1153744933 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181

Hospital & facility affiliations

  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11003841FLMDHospitalist Physician
11003841FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Mar 27, 2025 Accepting new patients
Jonathan Alvior MD LLC CurrentSince Oct 23, 2019 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 1, 2023 Accepting new patients
Adventist Health System-Sunbelt Inc Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 1, 2023 Accepting new patients
Millennium Physician Group LLC CurrentSince Mar 27, 2025 Accepting new patients
Florida Hospital Physician Group Inc Hospitalist CurrentSince Jan 1, 2023 Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700

1905 W Busch Blvd
Tampa, FL 33612
Phone (813) 365-3525

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1942859285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 AARON ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525305",
            "telephone_number": "855-979-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 W Busch Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336127675",
            "country_code": "US",
            "telephone_number": "813-365-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKALEMA",
        "first_name": "GLORIA",
        "middle_name": "BEATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003841",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003841",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN11003841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.