DR. MICKAELA BERRY KELLY DNP. CRNP, FNP-BC
NPI 1881267979
Nurse Practitioner - Family in Sykesville, MD

Q: What is Mickaela Kelly's NPI number?

The NPI number for Mickaela Kelly is 1881267979. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Q: What is Mickaela Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mickaela Kelly was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 19, 2021PECOS EnrolledAccepts Medicare Assignment

6190 GEORGETOWN BLVD, SYKESVILLE, MD 21784(410) 552-5050(410) 552-0200 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2025, Apr 4, 2024, Jul 19, 2021 (3 updates tracked since 2021).

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About Dr. Mickaela Berry Kelly Dnp. Crnp, Fnp-bc NPPES

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

DR. MICKAELA BERRY KELLY DNP. CRNP, FNP-BC (NPI 1881267979) is an individual family provider in Sykesville, Maryland, licensed in Maryland (R216689) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881267979

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. MICKAELA BERRY KELLYCredential: DNP. CRNP, FNP-BC

Location Address6190 GEORGETOWN BLVDSykesville, MD 21784-6460

Mailing Address6190 Georgetown BlvdSykesville, MD 21784-6460 · (140) 552-5050 · Fax (410) 552-0200

Phone(410) 552-5050

Fax(410) 552-0200

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 19, 2021

Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1881267979 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 · R216689

6190 GEORGETOWN BLVD, Sykesville, MD 21784

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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

Dr. Mickaela Berry Kelly Dnp. Crnp, Fnp-bc 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 ID2365847522

PECOS Enrollment IDI20210826000018

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

Lifebridge Community Physicians, Inc.

Same address

Family Medicine

6190 GEORGETOWN BLVD STE 104
Eldersburg, MD 21784

Reassigned Medicare billing, Maryland enrollment
317 clinicians in this Medicare group

NPI 1891247003 (410) 552-5050

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

Areas of Expertise CMS Part B claims 14

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.

272 services181 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

64 services64 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

60 services52 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.

59 services55 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.

46 services45 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

37 services37 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

34 services34 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

30 services15 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.

29 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services22 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services12 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21784 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 20

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

SINAI HOSPITAL OF BALTIMORE INC

Surgery

6190 GEORGETOWN BLVD, SUITE 104
ELDERSBURG, MD 21784

Carroll County (410) 356-0410

MR. DONALD L HALL LCADC

Counselor (Addiction (Substance Use Disorder))

6190 GEORGETOWN BLVD, SUITE 105
ELDERSBURG, MD 21784

Carroll County (410) 552-9004

LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC

Clinic/Center (Rehabilitation)

6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784

Carroll County (410) 552-4235

MRS. SANDRA K SAVILLE LCSW-C

Social Worker (Clinical)

6190 GEORGETOWN BLVD, SUITE 105
ELDERSBURG, MD 21784

Carroll County (410) 552-9004

SINAI HOSPITAL OF BALTIMORE

Surgery

6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784

Carroll County (410) 552-4202

MS. JENNIFER RENEE CARMICHAEL PT

Physical Therapist

6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784

Carroll County (410) 552-4235

KRISTEN ALLARD CRNP

Nurse Practitioner (Family)

6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784

Carroll County (410) 552-5050

LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC

Clinic/Center (Rehabilitation)

6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784

Carroll County (410) 552-4235

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 Mickaela Kelly's NPI number?

The NPI number for Mickaela Kelly is 1881267979. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Mickaela Kelly located?

Mickaela Kelly practices at 6190 Georgetown Blvd, Sykesville, MD 21784. The listed phone number is (410) 552-5050.

What is Mickaela Kelly's specialty?

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

Is Mickaela Kelly enrolled in Medicare?

Yes. Mickaela Kelly 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.

Which organization bills Medicare for Mickaela Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mickaela Kelly reassigns Medicare benefits to Lifebridge Community Physicians, Inc. (Eldersburg, 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 Mickaela Kelly'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 Mickaela Kelly was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.