Nicole Lynn Gress , CNM
Advanced Practice Midwife • Saint Augustine, FL
301 Health Park Blvd Ste 219
Saint Augustine, FL 320865795
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
301 Health Park Blvd Ste 219
Saint Augustine, FL 320865795
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Minot, ND. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Womens Care Florida Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Advanced Practice Midwife: NPPES taxonomy is a reported classification, not proof of board certification.
Open Payments general payments, program year 2025
All general payments: $514.33 across 15 records.
By nature of payment
- Food and Beverage: $514.33 across 15 records.
Reporting-company totals (3 largest of 9)
- MAYNE PHARMA COMMERCIAL LLC: $158.31 across 4 records.
- Exeltis, USA Inc.: $143.96 across 2 records.
- Sage Therapeutics, LLC: $63.74 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nicole Gress has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nicole Gress as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Saint Augustine and Florida
4 active clinicians are listed under Advanced Practice Midwife with a practice address in Saint Augustine, FL (874 in Florida).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $79.41 in 2021 to $514.33 in 2025.
- 2021: $79.41
- 2022: $112.00
- 2023: $234.29
- 2024: $294.41
- 2025: $514.33
Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 15 records totaling $514.33.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Exeltis, USA Inc. |
Food and Beverage
In-kind items and services
|
TWIRLA | General | $122.50 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
|
ANNOVERA | General | $90.51 |
| Sage Therapeutics, LLC |
Food and Beverage
In-kind items and services
|
ZURZUVAE | General | $35.96 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
|
— | General | $33.28 |
| Sage Therapeutics, LLC |
Food and Beverage
In-kind items and services
|
ZURZUVAE | General | $27.78 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Lynkuet | General | $24.99 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
|
— | General | $24.97 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Mirena | General | $22.30 |
| LSI SOLUTIONS INC |
Food and Beverage
Cash or cash equivalent
|
FORNISEE | General | $21.71 |
| Exeltis, USA Inc. |
Food and Beverage
In-kind items and services
|
SLYND | General | $21.46 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $21.01 |
| MILLICENT US INC |
Food and Beverage
In-kind items and services
|
FEMLYV | General | $20.68 |
| Davol Inc. |
Food and Beverage
In-kind items and services
|
ARISTA | General | $20.63 |
| OptumHealth Care Solutions, LLC |
Food and Beverage
In-kind items and services
|
VIVIFY HEALTH CARE TEAM PORTAL 001 | General | $17.00 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
|
— | General | $9.55 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-01-24NUCC Taxonomy Code: 367A00000X
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.
NUCC Taxonomy Code: 363LW0102X
NUCC Taxonomy Code: 367A00000X
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)
I20210507000061
FL
9638418684
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Womens Care Florida Llc
301 Health Park Blvd, St Augustine, FL 320865795
Phone: 9048199898
Secondary Practice Locations
400 Burdick Expy E
Minot, ND 587014768
Phone: 7018577382
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: FL APRN11011386)
Registered at PO BOX 748817, ATLANTA, GA 303748817 (Tel: 8132860333)
Registered at 301 HEALTH PARK BLVD STE 219, SAINT AUGUSTINE, FL 320865795 (Tel: 9048199898)
Registered at 301 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 320865793 (Tel: 9048199898)
Registered at PO BOX 25317, TAMPA, FL 336225317 (Tel: 8132860033)
Nurse Practitioner (license number reported to NPPES: FL APRN11011386)
NPI status registered as active in NPPES database
Registered at 400 BURDICK EXPY E, MINOT, ND 587014768 (Tel: 7018577382)
Registered at 1109 32ND AVE SE, MINOT, ND 587017102 (Tel: 4067815273)
Recorded as NICOLE GRESS, CNM
Advanced Practice Midwife (license number reported to NPPES: ND R40191)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 748817
Atlanta, GA 303748817
Phone: 8132860333