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MRS. NICOLE LATASHA SHELL PMHNP-BC
NPI 1265056774
Nurse Practitioner - Psychiatric/Mental Health in White Marsh, MD

Active since May 31, 2020PECOS Enrolled
5430 CAMPBELL BLVD STE 107, WHITE MARSH, MD 21162(443) 720-3902(443) 720-3916 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2026, May 23, 2025, Sep 27, 2020 and 1 more (4 updates tracked since 2020).

About Mrs. Nicole Latasha Shell Pmhnp-bc NPPES

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

MRS. NICOLE LATASHA SHELL PMHNP-BC (NPI 1265056774) is an individual psychiatric/mental health provider in White Marsh, Maryland, licensed in Maryland (R192533) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265056774
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. NICOLE LATASHA SHELLCredential: PMHNP-BC
Location Address5430 CAMPBELL BLVD STE 107White Marsh, MD 21162-5503
Mailing Address1105 N Point Blvd Ste 310Baltimore, MD 21224-3472 · (410) 800-6186 · Fax (443) 943-0027
Phone(443) 720-3902
Fax(443) 720-3916
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 31, 2020
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1265056774 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 · R192533
5430 CAMPBELL BLVD STE 107, White Marsh, MD 21162
Open in Google Maps ↗

Secondary Practice Location 1

Location 11105 N Point Blvd Ste 310Baltimore, MD 21224-3472 · Phone (443) 943-0007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Latasha Shell Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052890118
PECOS Enrollment IDI20260209003520
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 Nicole Shell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Restoring Minds Behavioral Health Services, LLC
6.2 mi
Rehabilitation, Substance Use Disorder
1105 N POINT BLVD STE 310
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
NPI 1619647948 (410) 800-6186

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 21162 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 3

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

NICOLE SHELL PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
5430 CAMPBELL BLVD STE 107
WHITE MARSH, MD 21162
Baltimore County (443) 720-3902
MS. DANA MAREE PARROTT
Registered Nurse
5430 CAMPBELL BLVD STE 107
WHITE MARSH, MD 21162
Baltimore County (443) 720-3871
RESTORATION BEHAVIORAL HEALTH SYSTEMS,LLC
Clinic/Center (Adult Mental Health)
5430 CAMPBELL BLVD STE 107
WHITE MARSH, MD 21162
Baltimore County (410) 982-6355

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 Nicole Shell's NPI number?

The NPI number for Nicole Shell is 1265056774. It was assigned to this individual provider in the NPPES registry on May 31, 2020.

Where is Nicole Shell located?

Nicole Shell practices at 5430 Campbell Blvd Ste 107, White Marsh, MD 21162. The listed phone number is (443) 720-3902.

What is Nicole Shell's specialty?

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

Is Nicole Shell enrolled in Medicare?

Yes. Nicole Shell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Shell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Shell reassigns Medicare benefits to Restoring Minds Behavioral Health Services, LLC (Baltimore, 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 Nicole Shell'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 Nicole Shell was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.