KELLY M NICHOLS MD
NPI 1629462627
Obstetrics & Gynecology in Portland, ME

Q: What is Kelly Nichols's NPI number?

The NPI number for Kelly Nichols is 1629462627. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Q: What is Kelly Nichols's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Nichols was last updated on November 21, 2025. 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.

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment

887 CONGRESS ST STE 200, PORTLAND, ME 04102(207) 771-5549(207) 771-7834 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2025, Oct 22, 2023, Jul 26, 2021 and 2 more (5 updates tracked since 2016).

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About Kelly M Nichols Md NPPES

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

KELLY M NICHOLS MD (NPI 1629462627) is an individual obstetrics & gynecology provider in Portland, Maine, licensed in Maine (MD27355) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Tulane University School Of Medicine (2015).

NPPES Registry Identity

NPI1629462627

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY M NICHOLSCredential: MD

Location Address887 CONGRESS ST STE 200Portland, ME 04102-3166

Mailing Address887 Congress St Ste 200Portland, ME 04102-3166 · (207) 771-5549 · Fax (207) 771-7834

Phone(207) 771-5549

Fax(207) 771-7834

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2015

Enumeration DateMarch 27, 2015

Last NPPES UpdateNovember 21, 20255 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1629462627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in ME · MD27355✔ Licensed in MA · 279258

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

887 CONGRESS ST STE 200, Portland, ME 04102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly M Nichols Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385957976

PECOS Enrollment IDI20231117002182

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

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 13

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

SHANNON L CARR MD

Obstetrics & Gynecology