KELLY NICOL DO
NPI 1215505383
Psychiatry & Neurology - Neurology in Philadelphia, PA

Q: What is Kelly Nicol's NPI number?

The NPI number for Kelly Nicol is 1215505383. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Q: What is Kelly Nicol's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Nicol was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 15, 2021PECOS Enrolled

900 WALNUT ST # 200, PHILADELPHIA, PA 19107(215) 955-2243 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 20, 2025, Jul 2, 2021, Jun 15, 2021 (3 updates tracked since 2021).

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About Kelly Nicol Do NPPES

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

KELLY NICOL DO (NPI 1215505383) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Virginia (0116035920) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215505383

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameKELLY NICOLCredential: DO

Location Address900 WALNUT ST # 200Philadelphia, PA 19107-5191

Mailing Address900 Walnut St # 200Philadelphia, PA 19107-5191 · (412) 551-9007

Phone(215) 955-2243

Sole ProprietorNo

Enumeration DateJune 15, 2021

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1215505383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in VA · 0116035920

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

900 WALNUT ST # 200, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Nicol Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 Kelly Nicol's NPI number?

The NPI number for Kelly Nicol is 1215505383. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Kelly Nicol located?

Kelly Nicol practices at 900 Walnut St # 200, Philadelphia, PA 19107. The listed phone number is (215) 955-2243.

What is Kelly Nicol's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kelly Nicol enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Nicol was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.