Nicholas Anton Shelley
MILLENNIUM PHYSICIAN GROUP LLC


Address: 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356
Phone: 2396007808

Nicholas Anton Shelley (NPI# 1215410220, PAC ID# 2860737681) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1215410220
PAC ID by PECOS 2860737681
Professional Enrollment ID I20181226001991
Full Name Nicholas Anton Shelley
Organization Legal Name MILLENNIUM PHYSICIAN GROUP LLC
Address 12700 Creekside Ln
Suite 201
Fort Myers
FL 33919-3356
Phone Number 2396007808
Gender M
Medical School UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9830244433
Number of Group Practice Members 532
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100244 CAPE CORAL HOSPITAL - 100244
100012 LEE MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356 2396007808 MILLENNIUM PHYSICIAN GROUP LLC

Organization Information

Organization Legal Name MILLENNIUM PHYSICIAN GROUP LLC
Physicians 503

Physicians with the same organization

Name Specialty Organization Address
Alana Hope Adler Nurse Practitioner Millennium Physician Group LLC 3400 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-8102
Kalyani Regeti Internal Medicine Millennium Physician Group LLC 3611 Tamiami Trl B, Port Charlotte, FL 33952-5508
Kevin J Ziegler Physician Assistant Millennium Physician Group LLC 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099
Jennifer Azelton Nurse Practitioner Millennium Physician Group LLC 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703
Marcanthony H Morgan Nurse Practitioner Millennium Physician Group LLC 9500 Bonita Beach Rd Se, Bonita Springs, FL 34135-4698
Lauren Blair Arcilla Nurse Practitioner Millennium Physician Group LLC 830 N Mills Ave, Arcadia, FL 34266-8780
Roxanne Denise Hooper Nurse Practitioner Millennium Physician Group LLC 2335 Aaron St, Port Charlotte, FL 33952-5305
Todd Marlowe Nurse Practitioner Millennium Physician Group LLC 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798
Margaret Desear Nurse Practitioner Millennium Physician Group LLC 1495 Pine Ridge Rd, Suite 4, Naples, FL 34109-2113
Sasha Arbona Nurse Practitioner Millennium Physician Group LLC 1659 Us Hwy 27 N, Suite 102, Avon Park, FL 33825-2103

Office Location

Street Address 12700 CREEKSIDE LN
SUITE 201
City FORT MYERS
State FL
Zip 33919-3356

Physicians in the same location

Name Specialty Organization Address
Athanassios C Drimoussis Endocrinology Millennium Physician Group LLC 12700 Creekside Ln, Suite 201, Fort Myers, FL 33919-3356

Physicians in the same zip code

Name Specialty Organization Address
Naser Kamkar Family Medicine 4575 Via Royale, Suite 216, Fort Myers, FL 33919-1019
Adelene Frances Tolisano Nurse Practitioner Vein Specialists At Royal Palm Square Inc 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068
Carlie M Black Physician Assistant Vein Specialists At Royal Palm Square Inc 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068
Sharon L Spoede Nurse Practitioner Vein Specialists At Royal Palm Square Inc 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068
Robert M Mandelkorn Ophthalmology 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068
Robin Thad Goodwin Ophthalmology 1510 Royal Palm Square Blvd, Suite 106, Fort Myers, FL 33919-1068
Joseph G Magnant Vascular Surgery Vein Specialists At Royal Palm Square Inc 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068
Jill Tanner Nurse Practitioner Vein Specialists At Royal Palm Square Inc 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068
Jill Layman Nurse Practitioner Vein Specialists At Royal Palm Square Inc 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068
Angela M Tapia Internal Medicine Millennium Physician Group LLC 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073
Find all physicians in zip 33919

Competitor

Search similar physicians

City FORT MYERS
Zip Code 33919
Specialty NURSE PRACTITIONER
City + Specialty FORT MYERS + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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