MRS. T. NICOLE KELLEY (RN, MS, CRNP) – Acute Care Nurse Practitioner, NPI 1932241981

MRS. T. NICOLE KELLEY (RN, MS, CRNP) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MS, CRNP. They hold a License No. SP008222 (PA). The NPI Number for MRS. T. NICOLE KELLEY (RN, MS, CRNP) is 1932241981

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. T. NICOLE KELLEY (RN, MS, CRNP)
NPI
1932241981
Phone
(717) 531-1386
Address
5 Capital Dr Ste 203
Enumeration Date
13 February 2007
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103286704
Graduation Year
2003 (23 years ago)
PAC ID
3779882816
Group Practice PAC ID
6800882317
Professional Enrollment ID
I20170316000176
Address ID
MD212011544BA22XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

11,556 NURSE PRACTITIONER in PA

Provider Addresses for MRS. T. NICOLE KELLEY (RN, MS, CRNP)

  • 5 Capital Dr Ste 203

    Harrisburg, PA 171109477

    Phone: (717) 531-1386

    Fax: (717) 531-0629

    Type: Location

  • 1861 Powder Mill Rd

    York, PA 174024723

    Phone: (717) 718-2000

    Fax: (717) 718-3460

    Type: Location

  • 1855 Powder Mill Rd Ste 210

    York, PA 174024723

    Phone: (717) 848-4800

    Type: Location

  • 760 S FRANKLIN ST

    RED LION, PA 173569189

    Phone: (717) 880-9788

    Fax: (410) 328-8862

    Type: Mailing

  • 22 S GREENE ST RM T6R44

    UNIVERSTIY OF MD, MEDICAL SYSTEM, SHOCK TRAUMA CENTER

    BALTIMORE, MD 212011544

    Phone: (410) 328-3058

    Fax: (410) 328-8862

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $25,911.

Total Amount is formed as General ($25,911) + Research ($0) + Ownership ($0) = $25,911.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($25,489).

Total Amount

$25,911

General + Research + Ownership

Payments

66

Total payment records

General Amount

$25,911

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-03

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
I20170316000176INurse PractitionerMDTBD
I20250403002035INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17110)

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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: 6800882317View full group profile
NameSpecialtyState
Nurse PractitionerMD
General SurgeryNY
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerMD
-CA
Nurse PractitionerMD
Nurse PractitionerPA
Critical Care (Intensivists)MD
Nurse PractitionerMD

Reviews

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Frequently asked questions

What is MRS. T. NICOLE KELLEY (RN, MS, CRNP)'s NPI number?
MRS. T. NICOLE KELLEY (RN, MS, CRNP)'s NPI is 1932241981 — the number used across U.S. healthcare to identify this provider.
Is MRS. T. NICOLE KELLEY (RN, MS, CRNP) still an active registrant?
MRS. T. NICOLE KELLEY (RN, MS, CRNP) carries an active NPI according to the public dataset.
How would a patient describe MRS. T. NICOLE KELLEY (RN, MS, CRNP)'s focus?
For MRS. T. NICOLE KELLEY (RN, MS, CRNP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is MRS. T. NICOLE KELLEY (RN, MS, CRNP) registered?
Use Harrisburg, Pennsylvania as the headline location for MRS. T. NICOLE KELLEY (RN, MS, CRNP) here.
Does MRS. T. NICOLE KELLEY (RN, MS, CRNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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