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NOELLE CATHERINE KELLICKER CNP
NPI 1245769074
Nurse Practitioner - Pediatrics in Worcester, MA

Active since June 06, 2017PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(774) 442-2853(774) 443-7268 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 29, 2021, Jan 9, 2021 and 2 more (5 updates tracked since 2017).

About Noelle Catherine Kellicker Cnp NPPES

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

NOELLE CATHERINE KELLICKER CNP (NPI 1245769074) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (RN2315082) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1245769074
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNOELLE CATHERINE KELLICKERCredential: CNP
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(774) 442-2853
Fax(774) 443-7268
Sole ProprietorNo
Enumeration DateJune 6, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1245769074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · RN2315082
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN2315082 (MA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2315082 (MA)
55 LAKE AVE N, Worcester, MA 01655
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Other Names 1

Professional Name (2)Noelle C Kellicker

Secondary Practice Location 1

Location 126 Queen Street, Credentialing Dept./Medical ServicesWorcester, MA 01610-2473 · Phone (508) 860-7800 · Fax (508) 860-7929

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noelle Catherine Kellicker Cnp 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 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Noelle Kellicker's NPI number?

The NPI number for Noelle Kellicker is 1245769074. It was assigned to this individual provider in the NPPES registry on June 6, 2017. The provider is also known as Noelle C Kellicker.

Where is Noelle Kellicker located?

Noelle Kellicker practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-2853.

What is Noelle Kellicker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Noelle Kellicker enrolled in Medicare?

Yes. Noelle Kellicker is registered in the Medicare PECOS enrollment system.

What insurance does Noelle Kellicker accept?

Health plans from Anthem Blue Cross and Blue Shield list Noelle Kellicker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Noelle Kellicker was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.