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

Kelly Nicole Nickell

Individual provider Certified Registered Nurse Anesthetist · NPI 1790319572

Kelly Nicole Nickell is a Certified Registered Nurse Anesthetist (CRNA) in Gainesville, Florida. Qualified in 2020, 6 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 273-8610
Fax: (352) 273-8612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 851 Trafalgar Ct Ste 200e, Maitland, FL 32751-7420 — (321) 439-0397
  • 62 Columbia St, Orlando, FL 32806-1115 — (321) 843-5851
  • 601 E Rollins St, Orlando, FL 32803-1248 — (407) 303-5600

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11007463 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 129422 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790319572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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