| Nichole A Kelly, NP | |
|
27 Mill St, Waldoboro, ME 04572-6013 | |
| (207) 832-5291 | |
| Not Available |
| Full Name | Nichole A Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 27 Mill St, Waldoboro, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316058142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R044014 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chans Home Health Care | Brunswick, ME | Home health agency |
| Chans Hospice Care | Brunswick, ME | Hospice |
| Mid Coast Hospital | Brunswick, ME | Hospital |
| Maine Medical Center | Portland, ME | Hospital |
| Penobscot Bay Medical Center | Rockport, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainehealth | 7517860588 | 2288 |
| Entity Name | Mid Coast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932164795 PECOS PAC ID: 5496739468 Enrollment ID: O20040623001212 |
| Entity Name | Mainehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Entity Name | Penobscot Bay Physicians & Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497799720 PECOS PAC ID: 4981592383 Enrollment ID: O20040824000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole A Kelly, NP 27 Mill St, Waldoboro, ME 04572-6013 Ph: (207) 832-5291 | Nichole A Kelly, NP 27 Mill St, Waldoboro, ME 04572-6013 Ph: (207) 832-5291 |
Jennie K Mcneil, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13 Bowden Rd, Waldoboro, ME 04572 Phone: 207-542-7820 | |
Devon Elizabeth Riley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Mill St, Waldoboro, ME 04572 Phone: 207-832-2300 | |
Laurel L Reever, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 Mill St, Waldoboro, ME 04572 Phone: 207-832-5291 Fax: 207-832-7340 |