Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nicole Shawntay Kelly, FNP-C

Individual provider Family Nurse Practitioner · NPI 1114689817

Mrs. Nicole Shawntay Kelly, FNP-C is a Nurse Practitioner in Lewiston, Maine. Qualified in 2021, 5 years ago. Practices with Central Maine Medical Center, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

300 Main St
Lewiston, ME 04240-7041
Phone: (207) 795-0111
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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 CNP211493 (ME)

Record details

NPI number1114689817
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 10, 2021
Last updated in NPPESOctober 10, 2021
Certification dateSeptember 25, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Maine Medical Center — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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