DR. NICOLE MARIE CANADA M.D.
NPI 1912997180
Family Medicine in Bradenton, FL

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
250 2ND ST E STE 4G, BRADENTON, FL 34208(941) 708-8199(941) 708-8194 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, May 12, 2016 (2 updates tracked since 2016).

About Dr. Nicole Marie Canada M.d. NPPES

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

DR. NICOLE MARIE CANADA M.D. (NPI 1912997180) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (ME131703) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912997180
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICOLE MARIE CANADACredential: M.D.
Location Address250 2ND ST E STE 4GBradenton, FL 34208-1028
Mailing Address367 S. Gulph Rd, Att Ipm CredentialingKing Of Prussia, PA 19406-3121 · (941) 708-8199 · Fax (941) 708-8194
Fax(941) 708-8194
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 27, 2005
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
NPI 1912997180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME131703
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.

250 2ND ST E STE 4G, Bradenton, FL 34208

Secondary Practice Locations 2

Location 19135 58th Dr EBradenton, FL 34202-9188 · Phone (941) 216-6200 · Fax (941) 216-6201
Location 2300 Parkview PlLakeland, FL 33805-4550 · Phone (863) 687-1300

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Marie Canada M.d. 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 ID1355306572
PECOS Enrollment IDI20041129000816
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.

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

Internal Medicine
250 2ND ST E STE 4G
BRADENTON, FL 34208
Internal Medicine
250 2ND ST E STE 4G
BRADENTON, FL 34208

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 Nicole Canada's NPI number?

The NPI number for Nicole Canada is 1912997180. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Nicole Canada located?

Nicole Canada practices at 250 2nd St E Ste 4G, Bradenton, FL 34208. The listed phone number is (941) 708-8199.

What is Nicole Canada's specialty?

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

Is Nicole Canada enrolled in Medicare?

Yes. Nicole Canada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Canada accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Nicole Canada 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.

Is Nicole Canada affiliated with any hospitals?

According to CMS data, Nicole Canada is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Canada was last updated on March 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.