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KELLY BAUGHER CRNP
NPI 1083186506
Nurse Practitioner - Family in Madison, AL

Active since December 21, 2018PECOS EnrolledAccepts Medicare Assignment
400 SUN TEMPLE DR, MADISON, AL 35758(256) 774-5524 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2024, Nov 27, 2019, Dec 21, 2018 (3 updates tracked since 2018).

About Kelly Baugher Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BAUGHER CRNP (NPI 1083186506) is an individual family provider in Madison, Alabama, licensed in Alabama (1-149885) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1083186506
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY BAUGHERCredential: CRNP
Location Address400 SUN TEMPLE DRMadison, AL 35758-5924
Mailing Address400 Sun Temple DrMadison, AL 35758-5924
Phone(256) 774-5524
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018
Enumeration DateDecember 21, 2018
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1083186506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-149885
400 SUN TEMPLE DR, Madison, AL 35758
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Baugher Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901147578
PECOS Enrollment IDI20190408002666
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Baugher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Madison Primary Care LLC
Same address
Family Medicine
400 SUN TEMPLE DR
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1881993210 (256) 774-5524

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA LUEKER
Nurse Practitioner (Primary Care)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
FAKHRA AHMAD-BODLA N.P.
Nurse Practitioner (Family)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
SARAH WHELDEN HALL
Student in an Organized Health Care Education/Training Program
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
LEAH G CANTRELLE
Family Medicine
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
KRISTY LEANNE WILLIAMS CRNP
Nurse Practitioner
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
ADEEL A BODLA MD
Family Medicine (Adult Medicine)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
KATHERINE KOSHOFER PA-C
Physician Assistant
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
ERIN WHITLEY LEE FNP-BC
Nurse Practitioner (Family)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Baugher's NPI number?

The NPI number for Kelly Baugher is 1083186506. It was assigned to this individual provider in the NPPES registry on December 21, 2018.

Where is Kelly Baugher located?

Kelly Baugher practices at 400 Sun Temple Dr, Madison, AL 35758. The listed phone number is (256) 774-5524.

What is Kelly Baugher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Baugher enrolled in Medicare?

Yes. Kelly Baugher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Baugher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Baugher reassigns Medicare benefits to Madison Primary Care LLC (Madison, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Baugher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Baugher was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.