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NICOLA MARSHA-ANN BRYAN-HENDERSON
NPI 1053870337
Nurse Practitioner in Orange City, FL

Active since March 18, 2019PECOS Enrolled
955 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763(386) 228-0661(386) 228-0662 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicola Marsha-ann Bryan-henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLA MARSHA-ANN BRYAN-HENDERSON (NPI 1053870337) is an individual nurse practitioner in Orange City, Florida, licensed in Florida (11000870) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053870337
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLA MARSHA-ANN BRYAN-HENDERSON
Location Address955 TOWN CENTER DR STE 100Orange City, FL 32763-8255
Mailing Address955 Town Center Dr Ste 100Orange City, FL 32763-8255 · (386) 228-0661 · Fax (386) 228-0662
Phone(386) 228-0661
Fax(386) 228-0662
Sole ProprietorYes
Enumeration DateMarch 18, 2019
Last NPPES UpdateMarch 22, 2019
✔ NPI 1053870337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11000870
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
955 TOWN CENTER DR STE 100, Orange City, FL 32763
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicola Marsha-ann Bryan-henderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicola Bryan-henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lewis & Klancke Cardiology PA
25 mi
Cardiovascular Disease
695 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1669589263 (386) 258-8722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIET OMONME AGBATOR APRN
Nurse Practitioner (Family)
955 TOWN CENTER DR STE 100
ORANGE CITY, FL 32763
Volusia County (386) 228-0661
INSTITUTE FOR FOOT AND ANKLE SURGERY
Podiatrist (Foot & Ankle Surgery)
955 TOWN CENTER DR STE 100
ORANGE CITY, FL 32763
Volusia County (386) 774-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicola Bryan-henderson's NPI number?

The NPI number for Nicola Bryan-henderson is 1053870337. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Nicola Bryan-henderson located?

Nicola Bryan-henderson practices at 955 Town Center Dr Ste 100, Orange City, FL 32763. The listed phone number is (386) 228-0661.

What is Nicola Bryan-henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicola Bryan-henderson enrolled in Medicare?

Yes. Nicola Bryan-henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicola Bryan-henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicola Bryan-henderson reassigns Medicare benefits to Lewis & Klancke Cardiology PA (Daytona Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicola Bryan-henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicola Bryan-henderson was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.