KELLY ANN NICHOLS NP
NPI 1245889005
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Kelly Nichols's NPI number?

The NPI number for Kelly Nichols is 1245889005. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Q: What is Kelly Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Nichols was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 04, 2019PECOS Enrolled

3015 N BALLAS RD, SAINT LOUIS, MO 63131(314) 996-5000 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Sep 30, 2019, Sep 4, 2019 (3 updates tracked since 2019).

On this page

About Kelly Ann Nichols Np NPPES

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

KELLY ANN NICHOLS NP (NPI 1245889005) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2019038073) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245889005

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY ANN NICHOLSCredential: NP

Location Address3015 N BALLAS RDSaint Louis, MO 63131-2329

Mailing Address3015 N Ballas RdSaint Louis, MO 63131-2329 · (314) 996-5000

Phone(314) 996-5000

Sole ProprietorNo

Enumeration DateSeptember 4, 2019

Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1245889005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2019038073

Also ListedRegistered NurseTaxonomy 163W00000X · License 041459011 (IL), 2005023391 (MO)

3015 N BALLAS RD, Saint Louis, MO 63131

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Kelly Ann Nichols Np 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 63131 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers26 claims26 services$2.94 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers15 claims2,272 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers18 claims18 services$22.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. ASHLEY FRANCES MARIE PIKE FNP

Nurse Practitioner (Family)

3015 N BALLAS RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63131

St. Louis County (314) 966-5000

PAUL S PATANE M.D.

Anesthesiology

3015 N BALLAS RD
SAINT LOUIS, MO 63131

St. Louis County (314) 996-5330

MR. BLAIR ANTHONY MALENCH PA

Physician Assistant

3015 N BALLAS RD
SAINT LOUIS, MO 63131

St. Louis County (314) 996-5225

ADNAN MANZOOR MD

Hospitalist

3015 N BALLAS RD
SAINT LOUIS, MO 63131

St. Louis County (314) 996-5772

LAUREN MARIE HECHT RD, LD

Dietitian, Registered

3015 N BALLAS RD
SAINT LOUIS, MO 63131

St. Louis County (573) 579-6375

DR. ALAN P LYSS MD

Internal Medicine (Hematology & Oncology)

3015 N BALLAS RD
SAINT LOUIS, MO 63131

St. Louis County (314) 996-5514

VIRGILIO P DUMADAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

3015 N BALLAS RD, DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131

St. Louis County (314) 996-4285

STEPHEN R DAVIS M.D.

Anesthesiology

3015 N BALLAS RD
SAINT LOUIS, MO 63131

St. Louis County (314) 996-5330

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 Nichols's NPI number?

The NPI number for Kelly Nichols is 1245889005. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Kelly Nichols located?

Kelly Nichols practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 996-5000.

What is Kelly Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Nichols enrolled in Medicare?

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

What insurance does Kelly Nichols accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kelly Nichols 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 Kelly Nichols was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.