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

Nicole C Kelly, MD

Individual provider Emergency Medicine Physician · NPI 1669410932

Nicole C Kelly, MD is an Emergency Medicine in Vancouver, Washington. Qualified in 1999, 27 years ago. Practices with Central Oregon Emergency Physicians LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 NE 92nd Ave
Vancouver, WA 98664-3225
Phone: (360) 514-2142
Fax: (360) 514-6820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD00040898 (WA)

Record details

NPI number1669410932
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESSeptember 26, 2012

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Central Oregon Emergency Physicians Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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