REBECCA JANE NICELY PA-C
NPI 1699139303
Physician Assistant - Surgical in Baltimore, MD

Active since April 08, 2016PECOS Enrolled
900 S CATON AVE, BALTIMORE, MD 21229(667) 234-2414 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rebecca Jane Nicely Pa-c NPPES

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

REBECCA JANE NICELY PA-C (NPI 1699139303) is an individual surgical provider in Baltimore, Maryland, licensed in Maryland (C06056) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699139303
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameREBECCA JANE NICELYCredential: PA-C
Location Address900 S CATON AVEBaltimore, MD 21229-5201
Mailing Address900 S Caton AveBaltimore, MD 21229-5201 · (667) 234-2414
Sole ProprietorNo
Enumeration DateApril 8, 2016
Last NPPES UpdateApril 22, 2016
NPI 1699139303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MD · C06056
900 S CATON AVE, Baltimore, MD 21229

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rebecca Jane Nicely Pa-c 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.

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.

Nurse Anesthetist, Certified Registered
900 S CATON AVE
BALTIMORE, MD 21229
Internal Medicine
900 S CATON AVE
BALTIMORE, MD 21229
Social Worker (Clinical)
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Physician Assistant
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229

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 Rebecca Nicely's NPI number?

The NPI number for Rebecca Nicely is 1699139303. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Rebecca Nicely located?

Rebecca Nicely practices at 900 S Caton Ave, Baltimore, MD 21229. The listed phone number is (667) 234-2414.

What is Rebecca Nicely's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Rebecca Nicely enrolled in Medicare?

Yes. Rebecca Nicely is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Nicely was last updated on April 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.