Terri Shenell Nicholson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R164093 Issued in MD

Practice address

405 N Paca St
Baltimore, MD 21201-1815

Phone

(410) 779-9609

Fax

(443) 552-4758

NPI assigned

Nov 7, 2013

Last updated

May 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Nicholson Health Care Services Inc

  • Family Nurse Practitioner
  • Rosedale, MD
  • NPI 1215716279
  Medicare reassignment Authorized official
• Port Recovery Iop Inc.

  • Mental Health Counselor
  • Nottingham, MD
  • NPI 1578026464
  Medicare reassignment NPD
• Port Recovery Physicians Care LLC

  • Internal Medicine Physician
  • Nottingham, MD
  • NPI 1124470356
  Medicare reassignment
• Emerald Spring Clinics

  • Primary Care Nurse Practitioner
  • Baltimore, MD
  • NPI 1356000947
  NPD

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1144659400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011815",
            "telephone_number": "410-779-9609",
            "fax_number": "443-552-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TERRI",
        "middle_name": "SHENELL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R164093",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R164093",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R164093",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R164093",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "MD",
            "license": "R164093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Nicholson
• Kristen Nicholson, MSW
• Laney Qiushaun Nicholson
• Mariah Nicholson
• Ryan Nicholson
• Nick H Truong DMD LLC (Cascade of Smiles)
• Nickel N Dime LLC (Precision DME Coding and Billing Experts)
• Stefanie Bernadette Nickel, DPT
• Elisabeth Marshall Nickels, PH.D.
• Shannon Nickey, LCPC

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.