KIRA NICKOLS FNP-BC
NPI 1063239366
Nurse Practitioner - Family in Baltimore, MD
About Kira Nickols Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRA NICKOLS FNP-BC (NPI 1063239366) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R192096) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Kira Nickols Fnp-bc 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 Reassignments
3Medicare enrollment records show Kira Nickols reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: St Paul Place Specialists, Inc.
- 423 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 66 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 257 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center Inc
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21202
BALTIMORE, MD 21202
BALTIMORE, MD 21202
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 Kira Nickols's NPI number?
The NPI number for Kira Nickols is 1063239366. It was assigned to this individual provider in the NPPES registry on September 26, 2024.
Where is Kira Nickols located?
Kira Nickols practices at 345 Saint Paul St, Baltimore, MD 21202. The listed phone number is (410) 332-9000.
What is Kira Nickols's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kira Nickols enrolled in Medicare?
Yes. Kira Nickols 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 organizations bill Medicare for Kira Nickols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kira Nickols reassigns Medicare benefits to 3 organizations: Saint Paul Place Specialists, Inc. (Baltimore, MD), Emergency Physicians Spps (Baltimore, MD) and Maryland Family Care, Inc. (Baltimore, MD). Each 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 Kira Nickols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kira Nickols affiliated with any hospitals?
According to CMS data, Kira Nickols is affiliated with Mercy Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Kira Nickols was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Kira Nickols, FNP-BC · NPI 1063239366
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since September 26, 2024.
## Identity
- **NPI:** 1063239366 (Entity type: Individual)
- **Enumerated:** September 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R192096 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 345 SAINT PAUL ST, Baltimore, MD 21202-2123
- **Phone:** (410) 332-9000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Saint Paul Place Specialists, Inc. (NPI 1225075856, Baltimore, MD); Emergency Physicians Spps (NPI 1760885958, Baltimore, MD); Maryland Family Care, Inc. (NPI 1598718256, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063239366) · Data from the CMS NPPES public registry.