NICOLE LYNN GILLIAM
NPI 1689373987
Nurse Anesthetist, Certified Registered in Sarasota, FL

Q: What is Nicole Gilliam's NPI number?

The NPI number for Nicole Gilliam is 1689373987. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Q: What is Nicole Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Gilliam was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 27, 2023Accepts Medicare Assignment

1700 S TAMIAMI TRL, SARASOTA, FL 34239(941) 917-8720(941) 917-1875 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2023, Feb 27, 2023 (2 updates tracked since 2023).

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About Nicole Lynn Gilliam NPPES

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

NICOLE LYNN GILLIAM (NPI 1689373987) is an individual nurse anesthetist, certified registered in Sarasota, Florida, licensed in Florida (APRN11026204) and active in the NPI registry since February 2023. She is affiliated with Sarasota Memorial Hospital, maintains a secondary practice location in Tampa, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689373987

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNICOLE LYNN GILLIAM

Location Address1700 S TAMIAMI TRLSarasota, FL 34239-3509

Mailing AddressPo Box 947407Atlanta, GA 30394-7407 · (941) 917-2600 · Fax (941) 917-7884

Phone(941) 917-8720

Fax(941) 917-1875

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 27, 2023

Last NPPES UpdateMay 24, 20232 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1689373987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in FL · APRN11026204✔ Licensed in FL · RN9399266

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1700 S TAMIAMI TRL, Sarasota, FL 34239

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Secondary Practice Location 1

Location 112901 Bruce B Downs BlvdTampa, FL 33612-4742 · Phone (813) 974-2191

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Lynn Gilliam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648637066

PECOS Enrollment IDI20230530003278

Medicare Billing Reassignment

Medicare enrollment records show Nicole Gilliam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smh Physician Services Inc

Same address

Internal Medicine

1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
956 clinicians in this Medicare group

NPI 1346295292 (941) 917-8720

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

48 services33 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

38 services36 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

33 services33 patients

Anesthesia for procedure on heart and large blood vessels 00560

Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.

24 services24 patients

Insertion of tube in pulmonary artery for monitoring 93503

This procedure involves placing a tube into your pulmonary artery, which is a blood vessel in your lungs. The tube helps monitor heart function and blood flow, providing vital information for your treatment. It's typically done under local anesthesia to minimize discomfort.

22 services22 patients

Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older) 00562

This procedure involves administering anesthesia to ensure comfort and safety during heart or large blood vessel operations. A heart-lung machine is used to take over the heart's function, allowing the surgeon to work on a still heart. Suitable for individuals aged 1 year and older.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

DR. ELIJAH KIM M.D.

Surgery (Surgical Critical Care)