MRS. T. NICOLE KELLEY (RN, MS, CRNP) – Acute Care Nurse Practitioner, NPI 1932241981
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $25,489 |
| Aroa Biosurgery Incorporated | $149 |
| DePuy Synthes Sales Inc. | $135 |
| Galderma Laboratories, L.P. | $56 |
| PolyNovo North America LLC | $28 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170316000176 | I | Nurse Practitioner | MD | TBD |
| I20250403002035 | I | Nurse Practitioner | PA | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| General Surgery | NY | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| - | CA | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | PA | |
| Critical Care (Intensivists) | MD | |
| Nurse Practitioner | MD |
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