MRS. T. NICOLE KELLEY RN, MS, CRNP
NPI 1932241981
Nurse Practitioner - Acute Care in Baltimore, MD

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
22 S GREENE ST RM T6R44, UNIVERSTIY OF MD, MEDICAL SYSTEM, SHOCK TRAUMA CENTER, BALTIMORE, MD 21201(410) 328-3058(410) 328-8862 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Feb 23, 2025 (2 updates tracked since 2025).

About Mrs. T. Nicole Kelley Rn, Ms, Crnp NPPES

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

MRS. T. NICOLE KELLEY RN, MS, CRNP (NPI 1932241981) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R100906) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1932241981
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. T. NICOLE KELLEYCredential: RN, MS, CRNP
Location Address22 S GREENE ST RM T6R44, UNIVERSTIY OF MD, MEDICAL SYSTEM, SHOCK TRAUMA CENTERBaltimore, MD 21201-1544
Mailing Address760 S Franklin StRed Lion, PA 17356-9189 · (717) 880-9788 · Fax (410) 328-8862
Fax(410) 328-8862
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1932241981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in MD · R100906✔ Licensed in PA · SP008222
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP008222 (PA)
22 S GREENE ST RM T6R44, Baltimore, MD 21201

Other Names 1

Former Name (1)T. Nicole Grim

Secondary Practice Locations 3

Location 15 Capital Dr Ste 203Harrisburg, PA 17110-9477 · Phone (717) 531-1386 · Fax (717) 531-0629
Location 21861 Powder Mill RdYork, PA 17402-4723 · Phone (717) 718-2000 · Fax (717) 718-3460
Location 31855 Powder Mill Rd Ste 210York, PA 17402-4723 · Phone (717) 848-4800

Other Identifiers 1

OtherR100906MD · Rn & Crnp License Numbers

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

Mrs. T. Nicole Kelley Rn, Ms, 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 ID3779882816
PECOS Enrollment IDI20250403002035
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 Reassignments

3

Medicare enrollment records show T. Nicole Kelley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Care
22 S GREENE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Shock Trauma Associates PA
  • 541 clinicians in this Medicare group
General Acute Care Hospital
1855 POWDER MILL RD
York, PA 17402
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 165 clinicians in this Medicare group
Dietitian, Registered
3100 SCHOOLHOUSE RD
Middletown, PA 17057
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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.

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 T. Nicole Kelley's NPI number?

The NPI number for T. Nicole Kelley is 1932241981. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as T. Nicole Grim.

Where is T. Nicole Kelley located?

T. Nicole Kelley practices at 22 S Greene St Rm T6r44 Universtiy Of MD, Medical System, Shock Trauma Center, Baltimore, MD 21201. The listed phone number is (410) 328-3058.

What is T. Nicole Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is T. Nicole Kelley enrolled in Medicare?

Yes. T. Nicole Kelley 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 organizations bill Medicare for T. Nicole Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), T. Nicole Kelley reassigns Medicare benefits to 3 organizations: Shock Trauma Associates, P.A. (Baltimore, MD), Oss Orthopaedic Hospital, LLC (York, PA) and The Milton S. Hershey Medical Center Physicians Group (Middletown, PA). Each 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 T. Nicole Kelley'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 T. Nicole Kelley was last updated on January 13, 2026. 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.