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

Nicole Marie Ely, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1134825433

Nicole Marie Ely, FNP-BC is a Nurse Practitioner in Shallotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Physicians Eldercare PA, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, North Carolina, Pennsylvania and South Carolina.

Years since qualifying
4
Licensed in
FL, NC, PA, SC
In the registry since
2023
Specialties on file
4
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

237 Mulberry St
Shallotte, NC 28470-4471
Phone: (910) 754-8858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9600 No 5 School Rd Nw, Ash, NC 28420-2122 — (910) 287-6007

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5017617 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP031398 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11032746 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 30880 (SC)

Record details

NPI number1134825433
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physicians Eldercare Pa — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shallotte