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

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: October 25, 2026.

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

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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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Compass Health, Inc.
11 mi
Federally Qualified Health Center (FQHC)
324 EMERSON RD
High Ridge, MO 63049
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Community Treatment Inc
  • 26 clinicians in this Medicare group
NPI 1891040077 (636) 677-9977
Compass Health, Inc.
23 mi
Federally Qualified Health Center (FQHC)
1032 CROSSWINDS CT
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group
NPI 1861618308 (636) 332-8310

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 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.

Which organizations bill Medicare for Kelly Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Nichols reassigns Medicare benefits to 2 organizations: Compass Health, Inc. (High Ridge, MO) and Compass Health, Inc. (Wentzville, MO). 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 Kelly Nichols'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 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 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.