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

Nicole Williamson

Individual provider Anesthesiologist Assistant · NPI 1154903979

Nicole Williamson is an Anesthesiology Assistant in Clearwater, Florida. Qualified in 2021, 5 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021

Practice location Address checks out

3400 Gulf To Bay Blvd
Clearwater, FL 33759-4514
Phone: (813) 574-5200
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA678 (FL)

Record details

NPI number1154903979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing address1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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