NICHOLAS CLARK SUPLEY
NPI 1740081173
Student in an Organized Health Care Education/Training Program in Inverness, FL
About Nicholas Clark Supley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS CLARK SUPLEY (NPI 1740081173) is an individual student in an organized health care education/training program in Inverness, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicholas Clark Supley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
INVERNESS, FL 34452
INVERNESS, FL 34452
INVERNESS, FL 34452
INVERNESS, FL 34452
INVERNESS, FL 34452
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 Nicholas Supley's NPI number?
The NPI number for Nicholas Supley is 1740081173. It was assigned to this individual provider in the NPPES registry on March 21, 2025.
Where is Nicholas Supley located?
Nicholas Supley practices at 502 W Highland Blvd, Inverness, FL 34452. The listed phone number is (352) 697-3581.
What is Nicholas Supley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicholas Supley enrolled in Medicare?
Yes. Nicholas Supley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicholas Supley was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Nicholas Clark Supley · NPI 1740081173
Student in an Organized Health Care Education/Training Program provider in Inverness, Florida. Individual provider, active in the CMS NPPES registry since March 21, 2025.
## Identity
- **NPI:** 1740081173 (Entity type: Individual)
- **Enumerated:** March 21, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 502 W HIGHLAND BLVD, Inverness, FL 34452-4720
- **Phone:** (352) 697-3581
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740081173) · Data from the CMS NPPES public registry.