Provider Profile

Nicole Kelly, PA-C

Unclaimed Profile

About Nicole Kelly

Listed in the NPI registry as a physician assistant, Nicole Kelly, PA-C practices in Portland, OR. Nicole graduated from Baylor College of Medicine in 2023. Nicole is also listed as specializing in physician assistant — medical. NPI 1588493050 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. PA220357As reported
NPINational Provider Identifier
1588493050Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Nicole Kelly specialize in?

Nicole Kelly is a physician assistant in Portland, OR. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Nicole Kelly located?

Nicole Kelly is listed at 3181 Sw Sam Jackson Park Rd, Portland, OR 97239. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Nicole Kelly's phone number?

The number on file is (503) 494-4314. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Nicole Kelly's NPI number?

Nicole Kelly's National Provider Identifier is 1588493050. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Nicole Kelly train?

Nicole Kelly attended Baylor College of Medicine, graduating in 2023. This comes from the CMS National Downloadable File.

CMS public data

How long has Nicole Kelly been practicing?

Nicole Kelly has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.

CMS public data

Has Nicole Kelly confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Nicole Kelly. If this is you, claiming it is free.

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