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KIMBERLY A NICHOLSON MD
NPI 1629127188
Pediatrics in Fort Myers, FL

Active since January 10, 2007PECOS Enrolled
9350 CAMELOT DR, FORT MYERS, FL 33919(239) 481-5437(239) 481-0571 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2020, Oct 27, 2017 (2 updates tracked since 2017).

About Kimberly A Nicholson Md NPPES

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

KIMBERLY A NICHOLSON MD (NPI 1629127188) is an individual pediatrics provider in Fort Myers, Florida, licensed in Florida (ME102851) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629127188
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIMBERLY A NICHOLSONCredential: MD
Location Address9350 CAMELOT DRFort Myers, FL 33919-7980
Mailing Address12730 New Brittany Blvd Ste 602Fort Myers, FL 33907-4690 · (239) 275-5522 · Fax (239) 275-4464
Phone(239) 481-5437
Fax(239) 481-0571
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1629127188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME102851
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9350 CAMELOT DR, Fort Myers, FL 33919
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Other Identifiers 2

Medicaid000607900FL
Other93132FL · Bcbs Florida

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A Nicholson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

MELANIE ALIZA COOMBS-BYNUM MD
Pediatrics
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 481-5437
SUSAN S BENGTSSON ARNP
Nurse Practitioner
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 481-5437
DR. DANA DEBORD CRATER M.D.
Pediatrics
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 481-5437
JESSICA FERRARO
Speech-Language Pathologist
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 337-5437
JAESEN PETRETTA OTR/L
Occupational Therapist
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 839-3408
PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA, PL
Pediatrics
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 481-5437
DR. EDWIN G GUTTERY III M.D.
Pediatrics
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 481-5437
GILLIAN LUKOIC
Occupational Therapist
9350 CAMELOT DR
FORT MYERS, FL 33919
Lee County (239) 337-5437

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 Kimberly Nicholson's NPI number?

The NPI number for Kimberly Nicholson is 1629127188. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Kimberly Nicholson located?

Kimberly Nicholson practices at 9350 Camelot Dr, Fort Myers, FL 33919. The listed phone number is (239) 481-5437.

What is Kimberly Nicholson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Nicholson enrolled in Medicare?

Yes. Kimberly Nicholson is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Nicholson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Kimberly Nicholson 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 Kimberly Nicholson was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.