Doctor profile · Federal record
Dr. Kelly Nickelson, Physical Therapist
Physical Therapist (CMS: Physical Therapist in Private Practice) · Specialist · Fulton, MO
- NPI 1871780155
- Accepts Medicare
- 24 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
401 Gaylord Dr
Fulton, MO 652512517
(573) 642-8541
fax (573) 642-8500
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- April 19, 2023
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Missouri #2002015010
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871780155. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,583
Distinct HCPCS
8
Medicare allowed
$65,391
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,051 | 66 | $21 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 602 | 61 | $27 | |
97530 |
Therapy procedure using functional activities | 495 | 72 | $31 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 177 | 38 | $9 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 115 | 28 | $20 | |
97035 |
Application of ultrasound, each 15 minutes | 74 | 17 | $10 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 54 | 52 | $93 | |
97163 |
Evaluation for physical therapy, typically 45 minutes | 15 | 14 | $93 |
In context: peer comparison
Among 3 peers in Fulton Physical Therapist, average services per provider: 323. This provider delivers 8.0× the peer median.Frequently asked questions
What is Dr. Kelly Nickelson's medical specialty?
Dr. Kelly Nickelson practices Physical Therapist in Fulton, MO.
Where does Dr. Kelly Nickelson practice?
Dr. Kelly Nickelson practices at 401 Gaylord Dr, Fulton, MO 652512517. Office phone: 5736428541.
What is Dr. Kelly Nickelson's NPI?
Dr. Kelly Nickelson's National Provider Identifier (NPI) is 1871780155, issued by NPPES.
Does Dr. Kelly Nickelson accept Medicare assignment?
Yes. Dr. Kelly Nickelson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Nickelson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.