T. Nicole Kelley, RN, MS, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R100906 Issued in MD

Practice address

22 S Greene St RM T6R44
Universtiy of MD, Medical System, Shock Trauma Center
Baltimore, MD 21201-1544

Phone

(410) 328-3058

Fax

(410) 328-8862

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• T. Nicole Grim Former name

Medicare fee-for-service enrollment

Enrolled in MD, PA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkelley94780@direct.umm.edu

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.

• The Milton S Hershey Medical Center Physicians Group

  • Orthopaedic Surgery Physician
  • Hershey, PA
  • NPI 1710951744
  Medicare reassignment Care Compare group NPD
• Shock Trauma Associates, P.a.

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909
  Medicare reassignment NPD
• Oss Orthopaedic Hospital, LLC

  • General Acute Care Hospital
  • York, PA
  • NPI 1578881652
  Medicare reassignment NPD
• Oss Orthopaedic Hospital, LLC

  • Durable Medical Equipment & Medical Supplies
  • Enola, PA
  • NPI 1619433570
  NPD
• Oss Orthopaedic Hospital, LLC

  • General Acute Care Hospital
  • York, PA
  • NPI 1962758375

  Nurse Practitioner

  NPD
• The Milton S Hershey Medical Center Physician Group

  • Body Imaging Physician
  • Hershey, PA
  • NPI 1346215928
  NPD
• The Milton S Hershey Medical Center Physicians Group

  • Otolaryngology Physician
  • Hershey, PA
  • NPI 1205801933
  NPD
• The Milton S. Hershey Medical Center Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Hershey, PA
  • NPI 1255482089
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1932241981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S FRANKLIN ST",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569189",
            "telephone_number": "717-880-9788",
            "fax_number": "410-328-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST RM T6R44",
            "address_2": "UNIVERSTIY OF MD, MEDICAL SYSTEM, SHOCK TRAUMA CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3058",
            "fax_number": "410-328-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Capital Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109477",
            "country_code": "US",
            "telephone_number": "717-531-1386",
            "fax_number": "717-531-0629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1861 Powder Mill Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024723",
            "country_code": "US",
            "telephone_number": "717-718-2000",
            "fax_number": "717-718-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 Powder Mill Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024723",
            "country_code": "US",
            "telephone_number": "717-848-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "T. NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008222",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP008222",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R100906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN & CRNP LICENSE NUMBERS",
            "identifier": "R100906",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T. NICOLE",
            "last_name": "GRIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Kelley
• Maureen Anne Kelley, CRNP
• Miracle Kelley
• Richard I Kelley, MD, PHD
• Sarah Aminoff Kelley, M.D.
• William E Kelley, MD
• Kelli K McCallum
• Renee Kelling, N.P.
• Talia Kellner, LMSW
• Adela Ernestina Kellogg Sr., RPT

• Acute Care Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.