KELLY RUSSELL BURRIS NP
NPI 1194011007
Nurse Practitioner - Family in Fries, VA

Q: What is Kelly Burris's NPI number?

The NPI number for Kelly Burris is 1194011007. It was assigned to this individual provider in the NPPES registry on June 20, 2011. The provider is also known as Kelly Michele Russell.

Q: What is Kelly Burris's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Burris was last updated on October 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment

109 CARROL DR, FRIES, VA 24330(888) 908-4788(276) 398-3331 Get Directions Write a Review

NPPES record last updated: October 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2025, Jul 17, 2023, Aug 24, 2022 and 1 more (4 updates tracked since 2017).

On this page

About Kelly Russell Burris Np NPPES

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

KELLY RUSSELL BURRIS NP (NPI 1194011007) is an individual family provider in Fries, Virginia, licensed in Virginia (0021469439) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Twin County Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194011007

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY RUSSELL BURRISCredential: NP

Location Address109 CARROL DRFries, VA 24330-4532

Mailing AddressPo Box 9Laurel Fork, VA 24352-0009 · (276) 398-1200 · Fax (336) 789-0856

Phone(888) 908-4788

Fax(276) 398-3331

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJune 20, 2011

Last NPPES UpdateOctober 11, 20254 updates tracked since enumeration

NPPES CertifiedOctober 11, 2025

✔ NPI 1194011007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in VA · 0021469439✔ Licensed in NC · 5007750

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5007750 (NC), 0024169439 (VA)

109 CARROL DR, Fries, VA 24330

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Other Names 1

Former Name (1)Kelly Michele Russell

Secondary Practice Locations 2

Location 1200 Maroon Tide DrGalax, VA 24333-4238 · Phone (888) 908-4788 · Fax (276) 398-3331

Location 214558 Danville PikeLaurel Fork, VA 24352-3982 · Phone (276) 398-2292 · Fax (276) 398-3331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

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 Russell Burris Np 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 ID8426227729

PECOS Enrollment IDI20110802000695

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 Reassignments

Medicare enrollment records show Kelly Burris reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri Area Community Health

Same address

Federally Qualified Health Center (FQHC)

109 CARROLL DR
Fries, VA 24330

Reassigned Medicare billing, Virginia enrollment
43 clinicians in this Medicare group

NPI 1225749468 (276) 398-2292

Emergency Physicians Of Southern Virginia LLP

3.8 mi

Emergency Medicine

200 HOSPITAL DR
Galax, VA 24333

Reassigned Medicare billing, Virginia enrollment
68 clinicians in this Medicare group

NPI 1417187667 (276) 236-8181

Emergency Coverage Services, PC

370 mi

Nurse Practitioner

1607 S LOCUST AVE
Lawrenceburg, TN 38464

Reassigned Medicare billing, Virginia enrollment
85 clinicians in this Medicare group

NPI 1053351593 (931) 762-6571

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

87 services50 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

42 services35 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

25 services24 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490115

Location200 Hospital DriveGalax, VA 24333 · Galax City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24330 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 6

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

TRI-AREA COMMUNITY HEALTH

Durable Medical Equipment & Medical Supplies

109 CARROL DR
FRIES, VA 24330

Grayson County (888) 908-7820

FRIES FAMILY CARE CENTER PC

Clinic/Center (Rural Health)

109 CARROL DR
FRIES, VA 24330

Grayson County (276) 744-3660

MICHAEL A COBLER LPC

Counselor (Mental Health)

109 CARROL DR
FRIES, VA 24330

Grayson County (888) 908-4788

TRI-AREA COMMUNITY HEALTH

Pharmacy (Community/Retail Pharmacy)

109 CARROL DR
FRIES, VA 24330

Grayson County (888) 908-7820

FRIES COMMUNITY HEALTH CARE INC

Clinic/Center (Rural Health)

109 CARROL DR
FRIES, VA 24330

Grayson County (276) 744-3660

FRIES FAMILY CARE CENTER PC

Family Medicine

109 CARROL DR
FRIES, VA 24330

Grayson County (276) 744-3660

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 Burris's NPI number?

The NPI number for Kelly Burris is 1194011007. It was assigned to this individual provider in the NPPES registry on June 20, 2011. The provider is also known as Kelly Michele Russell.

Where is Kelly Burris located?

Kelly Burris practices at 109 Carrol Dr, Fries, VA 24330. The listed phone number is (888) 908-4788.

What is Kelly Burris's specialty?

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

Is Kelly Burris enrolled in Medicare?

Yes. Kelly Burris 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 organizations bill Medicare for Kelly Burris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Burris reassigns Medicare benefits to 3 organizations: Tri Area Community Health (Fries, VA), Emergency Physicians Of Southern Virginia LLP (Galax, VA) and Emergency Coverage Services, PC (Lawrenceburg, TN). Each 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 Burris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Burris accept?

Health plans from Oscar Health and Oscar Insurance Company list Kelly Burris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Burris affiliated with any hospitals?

According to CMS data, Kelly Burris is affiliated with Twin County Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Burris was last updated on October 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.