Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole Provost, MD

Individual provider Family Medicine Physician · NPI 1336164276

Dr. Nicole Provost, MD is a Family Practice in Gainesville, Florida. Graduated from University of Florida College of Medicine in 1992, 34 years ago. Practices with Shands Teaching Hospital and Clinics Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
34
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3951 NW 48th Ter Ste 101
Gainesville, FL 32606-7228
Phone: (352) 265-5230
Fax: (352) 265-5231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME65302 (FL)

Record details

NPI number1336164276
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESMay 1, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Shands Teaching Hospital And Clinics Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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