MRS. NICHOLE LYNN PELLETIER CRNP
NPI 1841379781
Nurse Practitioner - Family in California, MD

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
23415 THREE NOTCH RD, SUITE 2054 WILDWOOD CENTER, CALIFORNIA, MD 20619(301) 737-7833(301) 737-4865 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nichole Lynn Pelletier Crnp NPPES

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

MRS. NICHOLE LYNN PELLETIER CRNP (NPI 1841379781) is an individual family provider in California, Maryland, licensed in Maryland (R162889) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1841379781
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NICHOLE LYNN PELLETIERCredential: CRNP
Location Address23415 THREE NOTCH RD, SUITE 2054 WILDWOOD CENTERCalifornia, MD 20619-4017
Mailing AddressPo Box 189Hollywood, MD 20636-0189
Fax(301) 737-4865
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 2, 2006
Last NPPES UpdateNovember 10, 2010
NPI 1841379781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R162889
23415 THREE NOTCH RD, California, MD 20619

Other Names 1

Former Name (1)Miss Nichole Lynn Brown Crnp

Other Identifiers 1

Medicare PIN125PM916MD

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

Mrs. Nichole Lynn Pelletier Crnp 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 ID6608847561
PECOS Enrollment IDI20040804000293
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
438 services167 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services88 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
30 services29 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
30 services13 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
27 services11 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20619 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims46 services$6.03 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$20.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$80.87 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 13

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

Dentist (Orthodontics and Dentofacial Orthopedics)
23415 THREE NOTCH RD, SUITE #2003
CALIFORNIA, MD 20619
Chiropractor
23415 THREE NOTCH RD, SUITE 2045
CALIFORNIA, MD 20619
Eyewear Supplier
23415 THREE NOTCH RD, SUITE 1101
CALIFORNIA, MD 20619
Physical Therapist
23415 THREE NOTCH RD
CALIFORNIA, MD 20619
Dermatology
23415 THREE NOTCH RD, SUITE 2052
CALIFORNIA, MD 20619
Nurse Practitioner (Family)
23415 THREE NOTCH RD
CALIFORNIA, MD 20619
Specialist
23415 THREE NOTCH RD, SUITE 2052, WILDEWOOD CENTER
CALIFORNIA, MD 20619
Dentist (Orthodontics and Dentofacial Orthopedics)
23415 THREE NOTCH RD, #2003
CALIFORNIA, MD 20619

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 Nichole Pelletier's NPI number?

The NPI number for Nichole Pelletier is 1841379781. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Miss Nichole Lynn Brown Crnp.

Where is Nichole Pelletier located?

Nichole Pelletier practices at 23415 Three Notch Rd Suite 2054 Wildwood Center, California, MD 20619. The listed phone number is (301) 737-7833.

What is Nichole Pelletier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nichole Pelletier enrolled in Medicare?

Yes. Nichole Pelletier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nichole Pelletier affiliated with any hospitals?

According to CMS data, Nichole Pelletier is affiliated with Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Pelletier was last updated on November 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.