KIMBERLY A NICHOLSON MD
NPI 1629127188
Pediatrics in Fort Myers, FL
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly A Nicholson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33919
- Reassigned Medicare billing, Florida enrollment
- 54 clinicians in this Medicare group
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 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.
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.
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.
Which organization bills Medicare for Kimberly Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Nicholson reassigns Medicare benefits to Physicians Primary Care Of Southwest Florida, Pl (Fort Myers, 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 Kimberly Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Kimberly A Nicholson, MD · NPI 1629127188
Pediatrics physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1629127188 (Entity type: Individual)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** ME102851 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9350 CAMELOT DR, Fort Myers, FL 33919-7980
- **Phone:** (239) 481-5437 · **Fax:** (239) 481-0571
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physicians Primary Care Of Southwest Florida, Pl (NPI 1083696033, Fort Myers, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2020
- **Other identifiers:** Medicaid 000607900 (FL); Other 93132 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1629127188) · Data from the CMS NPPES public registry.