Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Nicole Shawntay Kelly, FNP-C

Individual provider Family Nurse Practitioner · NPI 1114689817

Mrs. Nicole Shawntay Kelly, FNP-C is a Nurse Practitioner in Lewiston, Maine. Qualified in 2021, 5 years ago. Practices with Central Maine Medical Center, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

300 Main St
Lewiston, ME 04240-7041
Phone: (207) 795-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP211493 (ME)

Record details

NPI number1114689817
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 10, 2021
Last updated in NPPESOctober 10, 2021
Certification dateSeptember 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Maine Medical Center — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients63
Services billed 127 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Central Maine Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 347 clinicians in the practice; 12 are shown here.

Other providers in Lewiston