What is Kelly Nickelson's NPI number?

Kelly Nickelson's National Provider Identifier (NPI) is 1871780155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Nickelson's specialty?

Kelly Nickelson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Kelly Nickelson located?

Kelly Nickelson's practice location on file with NPPES is 401 Gaylord Dr, Fulton, MO 65251-2517.

What is Kelly Nickelson's phone number?

The practice phone number listed in the NPPES registry for Kelly Nickelson is (573) 642-8541.

Does Kelly Nickelson accept Medicare?

Kelly Nickelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Kelly Nickelson's NPI active?

Yes — Kelly Nickelson's NPI (1871780155) is active in the NPPES registry as of the last update on 2023-04-19.

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Kelly Nickelson, PHYSICAL THERAPIST

NPI 1871780155 · Physical Therapist · Fulton, MO

Kelly Nickelson, PHYSICAL THERAPIST is a Physical Therapist provider in Fulton, MO (NPI 1871780155).

Provider details

NPI number: 1871780155
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PHYSICAL THERAPIST
Sex: Female
Sole proprietor: No
License: 2002015010 (MO)

Practice location

401 Gaylord Dr

Fulton, MO 65251-2517

Phone: (573) 642-8541

Fax: (573) 642-8500

Street-level locationGet directions

More MO providers

Mailing address

401 Gaylord Dr

Fulton, MO 65251-2517

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense 2002015010 (MO)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist174400000XLicense 2002015010 (MO)
Other Service Providers

Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
19 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
1,945 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Therapy Procedure Using Functional Activities97530	627	$30
Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110	553	$21
Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112	424	$26
Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283	144	$8
Therapy Procedure Using Manual Technique, Each 15 Minutes97140	135	$19
Evaluation for Physical Therapy, Typically 30 Minutes97162	51

Enumerated: 2007-10-01
Last updated: 2023-04-19
Certified: 2023-04-18

Frequently asked questions

What is Kelly Nickelson's NPI number?: Kelly Nickelson's National Provider Identifier (NPI) is 1871780155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kelly Nickelson's specialty?: Kelly Nickelson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Kelly Nickelson located?: Kelly Nickelson's practice location on file with NPPES is 401 Gaylord Dr, Fulton, MO 65251-2517.
What is Kelly Nickelson's phone number?: The practice phone number listed in the NPPES registry for Kelly Nickelson is (573) 642-8541.
Does Kelly Nickelson accept Medicare?: Kelly Nickelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Kelly Nickelson's NPI active?: Yes — Kelly Nickelson's NPI (1871780155) is active in the NPPES registry as of the last update on 2023-04-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Frequently asked questions

Profile Score

What this provider does (Medicare)