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SHARON NICKELL-OLM M D FAMILY MEDICAL CENTER, LLC
NPI 1114355708
Family Medicine in Eustis, FL

Active since October 17, 2013CLIA 10D2068592 · Waiver
2000 PREVATT ST, EUSTIS, FL 32726(352) 357-2600(352) 357-3400 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sharon Nickell-olm M D Family Medical Center, Llc NPPES

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

SHARON NICKELL-OLM M D FAMILY MEDICAL CENTER, LLC (NPI 1114355708) is a healthcare organization registered as a family medicine in Eustis, Florida and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Sharon Ann Nickell-olm, Md, as its authorized official.

NPPES Registry Identity

NPI1114355708
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHARON NICKELL-OLM M D FAMILY MEDICAL CENTER, LLC
Location Address2000 PREVATT STEustis, FL 32726-6149
Mailing Address2000 Prevatt StEustis, FL 32726-6149 · (352) 357-2600 · Fax (352) 357-3400
Phone(352) 357-2600
Fax(352) 357-3400
Organization SubpartNo
Authorized OfficialSharon Ann Nickell-olmMd · (352) 357-2600
Enumeration DateOctober 17, 2013
Last NPPES UpdateMay 8, 2018
✔ NPI 1114355708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2000 PREVATT ST, Eustis, FL 32726
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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2068592

Sharon Nickell- Olm MD Family Medical Center LLC · Eustis, FL
Active · expires Nov 6, 2027
CLIA Number10D2068592
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorSharon A. Nickell- Olm
Laboratory Phone(352) 357-2600
Laboratory LocationSharon Nickell- Olm MD Family Medical Center LLC2000 Prevatt Street, Eustis, FL 32726
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DR. MARSHA KIDDER RAUCH A.R.N.P., PHD.
Nurse Practitioner (Gerontology)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (407) 869-1450
DR. SUZETTE AVA CHANDLER D.O.
Internal Medicine
2000 PREVATT ST, SUITE B-2
EUSTIS, FL 32726
Lake County (352) 589-5890
DR. KELLY DAWN LILL PHD, LMHC
Counselor
2000 PREVATT ST, SUITE B
EUSTIS, FL 32726
Lake County (352) 589-0622
DR. SHARON ANN NICKELL-OLM M.D.
Family Medicine (Hospice and Palliative Medicine)
2000 PREVATT ST
EUSTIS, FL 32726
Lake County (352) 357-2600
MARSHA K. RAUCH, PHD, ARNP
Nurse Practitioner (Gerontology)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (407) 869-1450
S.A.C. PRIMARY CARE LLC
Clinic/Center (Medical Specialty)
2000 PREVATT ST, SUITE B2
EUSTIS, FL 32726
Lake County (352) 589-5890
MRS. JENNIFER SUE GRAVELL MENDOZA ARNP
Nurse Practitioner (Family)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (321) 273-0301
PATRICIA A KRONK A.R.N.P.
Nurse Practitioner (Gerontology)
2000 PREVATT ST, SUITE B3
EUSTIS, FL 32726
Lake County (321) 273-0301

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 Sharon Nickell-Olm M D Family Medical Center, LLC's NPI number?

The NPI number for Sharon Nickell-Olm M D Family Medical Center, LLC is 1114355708. It was assigned to this organization in the NPPES registry on October 17, 2013.

Where is Sharon Nickell-Olm M D Family Medical Center, LLC located?

Sharon Nickell-Olm M D Family Medical Center, LLC is located at 2000 Prevatt St, Eustis, FL 32726. The listed phone number is (352) 357-2600.

What is Sharon Nickell-Olm M D Family Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sharon Nickell-Olm M D Family Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2068592) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sharon Nickell-Olm M D Family Medical Center, LLC accept?

Health plans from AvMed list Sharon Nickell-Olm M D Family Medical Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sharon Nickell-Olm M D Family Medical Center, LLC was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.