Nicole Marie Ely, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5017617 Issued in NC

Practice address

237 Mulberry St
Shallotte, NC 28470-4471

Phone

(910) 754-8858

NPI assigned

Feb 7, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, FL, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians

Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Home Care Home health agency, Supply, NC, CCN 347247

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Curana Health of North Carolina PLLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1770217176
  Medicare reassignment Care Compare group NPD
• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  Medicare reassignment Care Compare group NPD
• Patient Centered Care, PLLC

  • Adult Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1174714034

  Family

  Medicare reassignment NPD
• CH Specialty Services PA PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1295438547
  Medicare reassignment NPD
• Curana Health of Florida LLC

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1013628676
  Medicare reassignment NPD
• Curana Health of Pennsylvania PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1679205876
  Medicare reassignment NPD
• Sunshine Health Partners, LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1710595640
  Medicare reassignment NPD
• CH Specialty Services FL LLC

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1043919822
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liberty Healthcare Group, LLC

  • Home Health Agency
  • Supply, NC
  • NPI 1518912898
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1134825433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MULBERRY ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704471",
            "telephone_number": "910-754-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 MULBERRY ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704471",
            "telephone_number": "910-754-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 No 5 School Rd NW",
            "address_purpose": "LOCATION",
            "city": "Ash",
            "state": "NC",
            "postal_code": "284202122",
            "country_code": "US",
            "telephone_number": "910-287-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031398",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017617",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edc Drug Stores
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• Kristina Nicole Ellen, LPCA
• John Michael Elson, PT, DPT
• Emerald City Wellness PLLC
• Emergeortho PA
• Essman Chiropractic & Wellness Center PLLC
• Julie Ann Evans, PHARMD
• Family First Chiropractic Inc

• Family Nurse Practitioner in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.