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

Nicole Marie Bonilla Jimenez, MSN

Individual provider Registered Nurse · NPI 1790444081

Nicole Marie Bonilla Jimenez, MSN is a Nurse Practitioner in Orlando, Florida. Qualified in 2021, 5 years ago. Practices with Central Florida Pulmonary Group PA, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Puerto Rico.

Years since qualifying
5
Licensed in
FL, PR
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1115 E Ridgewood St
Orlando, FL 32803-5443
Phone: (407) 841-1100
Fax: (407) 843-7983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2250 Bedford Rd, Orlando, FL 32803-1443 — (407) 303-7869

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11020950 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 72635 (PR)

Record details

NPI number1790444081
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN
Sole proprietorNo
NPI enumeratedDecember 14, 2021
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Florida Pulmonary Group Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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