MRS. NICOLE CONKLING CRNP
NPI 1053602763
Nurse Practitioner - Psychiatric/Mental Health in Timonium, MD
About Mrs. Nicole Conkling Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE CONKLING CRNP (NPI 1053602763) is an individual psychiatric/mental health provider in Timonium, Maryland, licensed in Maryland (R172502) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Timonium, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Nicole Conkling Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Conkling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 97 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE, MD 21093
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Conkling's NPI number?
The NPI number for Nicole Conkling is 1053602763. It was assigned to this individual provider in the NPPES registry on April 28, 2011. The provider is also known as Nicole Dione Govignon Crnp.
Where is Nicole Conkling located?
Nicole Conkling practices at 1407 York Rd, Timonium, MD 21093. The listed phone number is (410) 746-8342.
What is Nicole Conkling's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicole Conkling enrolled in Medicare?
Yes. Nicole Conkling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nicole Conkling's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Conkling reassigns Medicare benefits to Della Behavioral Health Services (Columbia, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Conkling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Conkling was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Nicole Conkling, CRNP · NPI 1053602763
Psychiatric/Mental Health physician in Timonium, Maryland. Individual provider, active in the CMS NPPES registry since April 28, 2011.
## Identity
- **NPI:** 1053602763 (Entity type: Individual)
- **Enumerated:** April 28, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R172502 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1407 YORK RD, Timonium, MD 21093
- **Phone:** (410) 746-8342
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Della Behavioral Health Services (NPI 1750635207, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053602763) · Data from the CMS NPPES public registry.