KELLY ANN NYE SMALL
NPI 1063198810
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

Active since June 26, 2023PECOS EnrolledAccepts Medicare Assignment
120 N POTOMAC ST, HAGERSTOWN, MD 21740(301) 790-4938 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Ann Nye Small NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN NYE SMALL (NPI 1063198810) is an individual psychiatric/mental health provider in Hagerstown, Maryland, licensed in Maryland (R119093) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063198810
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY ANN NYE SMALL
Location Address120 N POTOMAC STHagerstown, MD 21740-4810
Mailing Address17500 York Rd Ste 200Hagerstown, MD 21740-7599 · (301) 908-2525
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 26, 2023
NPPES CertifiedMay 28, 2023
NPI 1063198810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R119093
120 N POTOMAC ST, Hagerstown, MD 21740

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Ann Nye Small 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.

PECOS PAC ID1153777297
PECOS Enrollment IDI20231026001487
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Clinic/Center (Multi-Specialty)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Clinic/Center (Mental Health (Including Community Mental Health Center))
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740
Nurse Practitioner (Psychiatric/Mental Health)
120 N POTOMAC ST
HAGERSTOWN, MD 21740

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 Kelly Small's NPI number?

The NPI number for Kelly Small is 1063198810. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Kelly Small located?

Kelly Small practices at 120 N Potomac St, Hagerstown, MD 21740. The listed phone number is (301) 790-4938.

What is Kelly Small's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Small enrolled in Medicare?

Yes. Kelly Small 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.

When was this NPI record last updated?

The NPPES record for Kelly Small was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.