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

Nimmi Maxmillian

Individual provider Family Nurse Practitioner · NPI 1154078103

Nimmi Maxmillian is a Nurse Practitioner in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 Town Center Blvd Ste C, Brandon, FL 33511-2906 — (813) 633-1980

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11018577 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11018577 (FL)

Record details

NPI number1154078103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2022
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

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 H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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