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NICOLE PULLEY
NPI 1962021667
Psychiatry & Neurology - Neurology in Baltimore, MD

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0526 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Jun 12, 2020, Apr 13, 2020 (3 updates tracked since 2020).

About Nicole Pulley NPPES

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

NICOLE PULLEY (NPI 1962021667) is an individual neurology provider in Baltimore, Maryland, licensed in Maryland (D0107038) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of Wake Forest University School Of Medicine (2020).

NPPES Registry Identity

NPI1962021667
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameNICOLE PULLEY
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address4940 Eastern AveBaltimore, MD 21224-2735
Phone(410) 550-0526
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2020
Enumeration DateApril 13, 2020
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1962021667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MD · D0107038
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4940 EASTERN AVE, Baltimore, MD 21224
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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

Nicole Pulley 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 ID6608298658
PECOS Enrollment IDI20240718001682
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 Nicole Pulley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Maryland Neurology Associates, P.A.
4.0 mi
Specialist
16 S EUTAW ST FL 3
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: University Of Maryland Neurology Associates PA
  • 78 clinicians in this Medicare group
NPI 1245049519 (410) 328-4323
University Of California San Francisco
2,463 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
2,463 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

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 3

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
234 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.
46 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
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.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Nicole Pulley's NPI number?

The NPI number for Nicole Pulley is 1962021667. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Nicole Pulley located?

Nicole Pulley practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0526.

What is Nicole Pulley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nicole Pulley enrolled in Medicare?

Yes. Nicole Pulley 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 Nicole Pulley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pulley reassigns Medicare benefits to 3 organizations: University Of Maryland Neurology Associates, P.A. (Baltimore, MD), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Nicole Pulley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Pulley affiliated with any hospitals?

According to CMS data, Nicole Pulley is affiliated with University Of Maryland Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Pulley was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.