MRS. NICOLE CONKLING (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053602763

MRS. NICOLE CONKLING (CRNP) is a healthcare provider. based in Lutherville, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R172502 (MD). The NPI Number for MRS. NICOLE CONKLING (CRNP) is 1053602763

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE CONKLING (CRNP)
NPI
1053602763
Phone
(410) 746-8342
Address
508 WHITHORN CT
Enumeration Date
28 April 2011
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4109297225
Graduation Year
2019 (7 years ago)
PAC ID
5597936948
Group Practice PAC ID
3971755000
Professional Enrollment ID
I20190417001216
Address ID
MD210463078CO9841XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,815 NURSE PRACTITIONER in MD

Provider Addresses for MRS. NICOLE CONKLING (CRNP)

  • 508 WHITHORN CT

    LUTHERVILLE, MD 210937026

    Phone: (410) 746-8342

    Type: Mailing

  • 1407 YORK RD

    TIMONIUM, MD 21093

    Phone: (410) 746-8342

    Type: Location

  • 1407 York Rd

    Timonium, MD 21093

    Phone: (410) 746-8342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190417001216INurse PractitionerMDTBD
I20200117000951INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes701127$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes584143$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes6666$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes5151$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3325$0
View full utilization report →

Insurance plans in this area (ZIP 21093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971755000View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistMD
-MD
Nurse PractitionerMD
Clinical PsychologistMD
Clinical Social WorkerMD
Clinical PsychologistMD
Clinical PsychologistMD
-MD
-IL

Reviews

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Frequently asked questions

How is MRS. NICOLE CONKLING (CRNP) identified in CMS data?
CMS-hosted NPPES data lists MRS. NICOLE CONKLING (CRNP) with NPI 1053602763.
Does the file indicate MRS. NICOLE CONKLING (CRNP) is practicing under active NPI?
Directory data currently reports MRS. NICOLE CONKLING (CRNP) as active.
What healthcare role does MRS. NICOLE CONKLING (CRNP) hold?
Scheduling teams often label MRS. NICOLE CONKLING (CRNP) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. NICOLE CONKLING (CRNP) list a practice location?
Patients near Lutherville, Maryland may find MRS. NICOLE CONKLING (CRNP) in results; validate coverage separately.
Is the information about MRS. NICOLE CONKLING (CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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