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

Nicole Wharton

Individual provider Physician Assistant · NPI 1093107641

Nicole Wharton is a Physician Assistant in The Villages, Florida. Qualified in 2014, 12 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015

Practice location Address checks out

1503 Buenos Aires Blvd Bldg 100
The Villages, FL 32159-6821
Phone: (352) 753-2812
Fax: (352) 753-5037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108349 (FL)

Record details

NPI number1093107641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2015
Last updated in NPPESApril 26, 2017
Mailing address151 Southhall Ln, Ste 300, Maitland, FL 32751-7176

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in The Villages