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Noelle Catherine Kellicker , CNP

Nurse Practitioner - Pediatrics β€’ Worcester, MA

Active NPI 1245769074 Individual Practitioner Female Practitioner
Practice location in NPPES

55 Lake Ave N
Worcester, MA 016550002

Call 7744422853 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744422853
Fax 7744437268
Organization at the Same NPPES Address or Phone
Umass Memorial Medical Center Facility NPI 1679574933

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Worcester, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Noelle Kellicker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Noelle Kellicker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Worcester and Massachusetts

21 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Worcester, MA (1,311 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Worcester

0% of these 21 clinicians have the CMS telehealth indicator.

14.3% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-29
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES MA RN2315082
Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

License # reported to NPPES MA RN2315082
Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MA RN2315082

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20171011001866

Enrollment State Jurisdiction

MA

PECOS Control ID

9032484423

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

26 Queen Street, Credentialing Dept./medical Services

Worcester, MA 016102473

Phone: 5088607800

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Amarys Abadie , CRNA

Nurse Anesthetist, Certified Registered

NPI 1992936843

Certified Registered Nurse Anesthetist

Aly Abayazeed

Radiology - Diagnostic Radiology

NPI 1821221946
Zainab Abbas

Dermatology

NPI 1609028000
Dr. Mary-Alice Abbott , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1982799417

Doctor of Medicine (M.D.)

Elizabeth Abbruzzese , NP

Nurse Practitioner

NPI 1326645300

Nurse Practitioner

NPI 1720630775

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location January 09, 2021

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744422853)

πŸ“
Updated Business Mailing Address January 09, 2021

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

πŸ‘€
Provider Name / Credentials Updated January 09, 2021

Recorded as NOELLE KELLICKER, CNP

βœ…
NPI Profile Active August 05, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 05, 2017

Registered at 26 QUEEN STREET, CREDENTIALING DEPT./MEDICAL SERVICES, WORCESTER, MA 016102473 (Tel: (508) 860-7800)

πŸ“
Updated Business Mailing Address August 05, 2017

Registered at 26 QUEEN STREET, CREDENTIALING DEPT./MEDICAL SERVICES, WORCESTER, MA 016102473 (Tel: 5088607800)

πŸ‘€
Provider Name / Credentials Updated August 05, 2017

Recorded as NOELLE KELLICKER, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2017

Registered Nurse (license number reported to NPPES: MA RN2315082)

βœ…
NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2017

Registered at 26 QUEEN STREET, CREDENTIALING DEPT./MEDICAL SERVICES, WORCESTER, MA 016102473 (Tel: (508) 860-7800)

πŸ“
Business Mailing Address (Initial Record) June 06, 2017

Registered at 26 QUEEN STREET, CREDENTIALING DEPT./MEDICAL SERVICES, WORCESTER, MA 016102473 (Tel: 5088607800)

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2017

Recorded as NOELLE KELLICKER, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Registered Nurse (license number reported to NPPES: MA RN2315082)

🟒
Initial NPI Registration & Enumeration June 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245769074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.