DR. ANNICK SHERON KELLY DNP, PMHNP-BC
NPI 1184554305
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

Q: What is Annick Kelly's NPI number?

The NPI number for Annick Kelly is 1184554305. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Q: What is Annick Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Annick Kelly was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 20, 2026PECOS Enrolled

10 JONATHAN ST, HAGERSTOWN, MD 21740(240) 486-6756 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Annick Sheron Kelly Dnp, Pmhnp-bc NPPES

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

DR. ANNICK SHERON KELLY DNP, PMHNP-BC (NPI 1184554305) is an individual psychiatric/mental health provider in Hagerstown, Maryland, licensed in Maryland (R203469) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184554305

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. ANNICK SHERON KELLYCredential: DNP, PMHNP-BC

Location Address10 JONATHAN STHagerstown, MD 21740-4802

Mailing Address10 Jonathan StHagerstown, MD 21740-4802 · (240) 486-6756

Phone(240) 486-6756

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 20, 2026

NPPES CertifiedMay 20, 2026

✔ NPI 1184554305 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 · R203469

10 JONATHAN ST, Hagerstown, MD 21740

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Annick Sheron Kelly Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294299699

PECOS Enrollment IDI20260715003930

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.

Medicare Billing Reassignment

Medicare enrollment records show Annick Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Positive Pathways And Wellness Center

Same address

Psychiatric/Mental Health

28 JONATHAN ST
Hagerstown, MD 21740

Reassigned Medicare billing, District of Columbia enrollment
3 clinicians in this Medicare group

NPI 1679313761 (240) 413-1255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 Annick Kelly's NPI number?

The NPI number for Annick Kelly is 1184554305. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Annick Kelly located?

Annick Kelly practices at 10 Jonathan St, Hagerstown, MD 21740. The listed phone number is (240) 486-6756.

What is Annick Kelly's specialty?

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

Is Annick Kelly enrolled in Medicare?

Yes. Annick Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Annick Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annick Kelly reassigns Medicare benefits to Positive Pathways And Wellness Center (Hagerstown, 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 Annick Kelly'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 Annick Kelly was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.