NICOLE R KELLY NP
NPI 1770378127
Nurse Practitioner in New Bern, NC

Q: What is Nicole Kelly's NPI number?

The NPI number for Nicole Kelly is 1770378127. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Q: What is Nicole Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Kelly was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 14, 2025PECOS EnrolledAccepts Medicare Assignment

1001 NEWMAN RD, NEW BERN, NC 28562(252) 635-6777(252) 634-3183 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nicole R Kelly Np NPPES

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

NICOLE R KELLY NP (NPI 1770378127) is an individual nurse practitioner in New Bern, North Carolina, licensed in North Carolina (5021957) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and maintains a secondary practice location in Bayboro.

NPPES Registry Identity

NPI1770378127

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE R KELLYCredential: NP

Location Address1001 NEWMAN RDNew Bern, NC 28562-5253

Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 635-6777 · Fax (252) 634-3183

Phone(252) 635-6777

Fax(252) 634-3183

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2024

Enumeration DateApril 14, 2025

Last NPPES UpdateAugust 19, 2026

NPPES CertifiedAugust 19, 2026

✔ NPI 1770378127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5021957

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1001 NEWMAN RD, New Bern, NC 28562

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Secondary Practice Location 1

Location 1203 North StBayboro, NC 28515-0010 · Phone (252) 745-5111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole R Kelly Np 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 ID9931687779

PECOS Enrollment IDI20260202002863

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 Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinaeast Physicians

Same address

Cardiovascular Disease

1001 NEWMAN RD
New Bern, NC 28562

Reassigned Medicare billing, North Carolina enrollment
320 clinicians in this Medicare group

NPI 1104066794 (252) 635-6777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340131

Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

KAITLYN CARNWATH

Nurse Practitioner (Adult Health)