Individual provider Active NPI

Nicole Claire Wilson, MD

  • Sports Medicine (Family Medicine) Physician
  • Orlando, FL
National Provider Identifier
1982197026
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME141949 Issued in FL
Practice address
265 E Rollins St Ste 11100
Orlando, FL 32804-5570
Phone
(844) 407-4070
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME141949 FL Primary
Family Medicine Physician 207Q00000X 301996 NC
Family Medicine Physician 207Q00000X ME141949 FL

Addresses

Primary practice location

265 E Rollins St Ste 11100
Orlando, FL 32804-5570

Mailing address

265 E Rollins St Ste 11100
Orlando, FL 32804-5570

Other practice location 1

13887 Narcoossee Rd Ste 200
Orlando, FL 32832-7221
Phone (844) 407-4070

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813001039 FL Practitioner - Family Practice 9133471014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

265 E Rollins St
Suite 11100
Orlando, FL 32804-5570
Phone (844) 407-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
77.92
Promoting interoperability
99
Improvement activities
40
Cost
79.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
301996NCMDFamily Medicine Physician
ME141949FLMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Rothman Orthopaedics of Florida,PLLC Sports Medicine CurrentSince Aug 1, 2022 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince May 2, 2020 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Aug 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Mar 1, 2025 Accepting new patients

Locations

410 Lionel Way
Ste 201
Davenport, FL 33837
Phone (863) 422-5331

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

201 N Clyde Morris Blvd
Ste 200
Daytona Beach, FL 32114
Phone (386) 254-4165

1141 Patterson Ter
Lake Mary, FL 32746

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

265 E Rollins St
Ste 11100
Orlando, FL 32804
Phone (407) 502-6919

25 S Terry Ave
Ste 320
Orlando, FL 32805

13887 Narcoossee Rd
Ste 200
Orlando, FL 32832

7975 Lake Underhill Rd
Ste 330
Orlando, FL 32822
Phone (407) 303-6566

775 W Granada Blvd
Ste 102
Ormond Beach, FL 32174
Phone (386) 425-4480

2200 Fowler Grove Blvd
Ste 360
Winter Garden, FL 34787
Phone (407) 853-5333

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1982197026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 11100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 11100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045570",
            "telephone_number": "844-407-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13887 Narcoossee Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328327221",
            "country_code": "US",
            "telephone_number": "844-407-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NICOLE",
        "middle_name": "CLAIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME141949",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "301996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME141949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.