Individual provider Active NPI

Nicole Ann-Marie Eversley-Hall, ARNP-C

  • Adult Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1952586653
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 9190622 Issued in FL
Practice address
1451 W Cypress Creek Rd Ste 300
Fort Lauderdale, FL 33309-1953
Phone
(954) 532-3081
Fax
(954) 532-3064
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 9190622 FL Primary

Addresses

Primary practice location

1451 W Cypress Creek Rd Ste 300
Fort Lauderdale, FL 33309-1953

Mailing address

PO Box 934671
Margate, FL 33093-4671
Phone (954) 532-3081

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
I20090128000305 FL Practitioner - Nurse Practitioner 6002970506 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors at Home Tri CountyGroup PAC ID 2567773849, 14 clinicians

Practice addresses (Care Compare)

11954 Narcoossee Rd
Orando, FL 32832-6998
Phone (800) 925-1840

1451 W Cypress Creek Rd
Suite 300
Fort Lauderdale, FL 33309-1953
Phone (954) 228-3658

Hospital & facility affiliations

  • Working Nurses Healthcare LLC Home health agency, Margate, FL, CCN 687057
  • All Services Home Health Agency Inc Home health agency, Fort Lauderdale, FL, CCN 687165
  • United Care Home Health Services LLC Home health agency, Davie, FL, CCN 109076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9190622FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Jun 12, 2017 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jun 12, 2017 Accepting new patients
N-Hall Medical Services LLC CurrentSince Mar 28, 2019 Accepting new patients

Locations

1451 W Cypress Creek Rd
Ste 300
Ft Lauderdale, FL 33309
Phone (954) 532-3081

1330 SE 4th Ave
Ste B
Ft Lauderdale, FL 33316
Phone (954) 463-3804

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

6051 W Commercial Blvd
Tamarac, FL 33319
Phone (954) 532-3081

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

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 3

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1952586653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934671",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330934671",
            "telephone_number": "954-532-3081",
            "fax_number": "954-532-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091953",
            "telephone_number": "954-532-3081",
            "fax_number": "954-532-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSLEY-HALL",
        "first_name": "NICOLE",
        "middle_name": "ANN-MARIE",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9190622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.