Individual provider Active NPI

Simone Shanel Gamble, NP

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1992290787
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008255 Issued in FL
Practice address
1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone
(954) 656-3181
Fax
(954) 656-3188
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343012 NY
Family Nurse Practitioner 363LF0000X 11008255 FL Primary

Addresses

Primary practice location

1751 Bonaventure Blvd
Weston, FL 33326-4039

Mailing address

1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone (954) 656-3181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181204001827 NY Practitioner - Nurse Practitioner 2769726678 Reassigns benefits to 1 organization
I20210805000595 FL Practitioner - Nurse Practitioner 2769726678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 689-8648

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008255FLMDFamily Nurse Practitioner
343012NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of New York, P.C. Family CurrentSince Oct 29, 2018 Accepting new patients
University of Miami CurrentSince Mar 18, 2022 Accepting new patients
University of Miami CurrentSince Mar 18, 2022 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients

Locations

21880 State Road 7
Boca Raton, FL 33428
Phone (561) 470-0647

4601 N State Road 7
Coconut Creek, FL 33073
Phone (954) 345-4456

11105 Stirling Rd
Cooper City, FL 33328
Phone (954) 233-0617

4200 SW 8th St
Coral Gables, FL 33134
Phone (305) 444-2544

6458 Linton Blvd
Delray Beach, FL 33484
Phone (561) 638-3403

2855 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 981-1104

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1300 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 454-1897

4895 Palm Ave
Hialeah, FL 33012
Phone (305) 231-7454

12001 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 784-7403

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

11690 SW 72nd St
Miami, FL 33173
Phone (305) 595-3326

4010 SW 137th Ave
Miami, FL 33175
Phone (305) 554-4545

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

15255 SW 137th Ave
Miami, FL 33177
Phone (305) 233-8499

12295 Biscayne Blvd
North Miami, FL 33181
Phone (305) 503-8634

1751 Bonaventure Blvd
Weston, FL 33326
Phone (954) 385-0014

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

241 W 57th St
New York, NY 10019
Phone (212) 247-5848

Interoperability endpoints

  • Direct secure messaging: sgamble110733@direct.med.miami.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1992290787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 BONAVENTURE BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264039",
            "telephone_number": "954-656-3181",
            "fax_number": "954-656-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 BONAVENTURE BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264039",
            "telephone_number": "954-656-3181",
            "fax_number": "954-656-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "SIMONE",
        "middle_name": "SHANEL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.