Individual provider Active NPI

Kera Nichol, CRNP

  • Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1881827640
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R154848 Issued in MD
Practice address
6740 Alexander Bell Dr Ste 200
Columbia, MD 21046-2253
Phone
(410) 997-8444
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R154848 MD
Nurse Practitioner 363L00000X R154848 MD Primary

Addresses

Primary practice location

6740 Alexander Bell Dr Ste 200
Columbia, MD 21046-2253

Mailing address

973 Pirates CT
Edgewood, MD 21040-1339
Phone (443) 356-5731

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190128000698 MD Practitioner - Nurse Practitioner 6103163241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

6740 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2253
Phone (410) 997-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R154848MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc CurrentSince Aug 7, 2023 Accepting new patients

Locations

6740 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (410) 997-8444

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

Interoperability endpoints

  • Direct secure messaging: kera.nichol.1@10777.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1881827640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 PIRATES CT",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401339",
            "telephone_number": "443-356-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 ALEXANDER BELL DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462253",
            "telephone_number": "410-997-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOL",
        "first_name": "KERA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R154848",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R154848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.