Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kira Nickols, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1063239366

Kira Nickols, FNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2024, 2 years ago. Practices with St Paul Place Specialists, Inc, a 339-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

345 Saint Paul St
Baltimore, MD 21202-2123
Phone: (410) 332-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R192096 (MD)

Record details

NPI number1063239366
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 26, 2024
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Paul Place Specialists, Inc. — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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