Mrs Nicole Shawntay Kelly, FNP-C in Lewiston, ME

Mrs Nicole Shawntay Kelly, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lewiston, Maine. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Central Maine Medical Center and her current practice location is 300 Main St, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 795-0111.

Mrs Nicole Shawntay Kelly is licensed to practice in Maine (license number CNP211493) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114689817.

Contact Information

	Mrs Nicole Shawntay Kelly, FNP-C
	300 Main St, Lewiston, ME 04240-7041
	(207) 795-0111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nicole Shawntay Kelly
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	300 Main St, Lewiston, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Nicole Shawntay Kelly graduated from nursing school in 2021

NPI Data:

NPI Number: 1114689817
Provider Enumeration Date: 10/10/2021
Last Update Date: 10/10/2021

Medicare PECOS Information:

PECOS PAC ID: 7719364850
Enrollment ID: I20220511002066

Medical Identifiers

Medical identifiers for Mrs Nicole Shawntay Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114689817	NPI	-	NPPES
F09210797	Other	ME	AANP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP211493 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Maine Medical Center	Lewiston, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Maine Medical Center	2567379563	332

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Nicole Shawntay Kelly allows following entities to bill medicare on her behalf.

Entity Name	Central Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Shawntay Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Nicole Shawntay Kelly, FNP-C 18 Laurier St, Lewiston, ME 04240-4106 Ph: (207) 332-0522	Mrs Nicole Shawntay Kelly, FNP-C 300 Main St, Lewiston, ME 04240-7041 Ph: (207) 795-0111

Reviews and Comments

Nurse Practitioner Nurses in Lewiston, ME

Ms. Nan M Boucher, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 99 Campus Ave, Suite 201, Lewiston, ME 04240 Phone: 207-777-8810 Fax: 207-777-8155
Michael S Hiltz, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 689 Sabattus St, Lewiston, ME 04240 Phone: 800-434-3000
Cora Lee Gavett, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-777-8100
Karen Shepard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 High St, Lewiston, ME 04240 Phone: 207-753-3900 Fax: 207-753-3902
Kendra Anne Greene, MSN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-755-3067 Fax: 207-777-8826
David J. Wright, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave Ste 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946
Heather Georgianna Beveridge, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111 Fax: 207-795-2766

Mrs Nicole Shawntay Kelly, FNP-C - Medicare Nurse Practitioner in Lewiston, ME