1. Home
  2. Directory
  3. Missouri
  4. Whiteman Afb
  5. Social Worker
  6. NPI Profile

KELLIE ADRIENNE EBBERUP-KRUG LCSW
NPI 1275177255
Social Worker - Clinical in Whiteman Afb, MO

Active since November 01, 2019PECOS EnrolledAccepts Medicare Assignment
930 MORGAN DRIVE, WHITEMAN AFB, MO 65305(901) 336-2626 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2019, Nov 1, 2019 (2 updates tracked since 2019).

About Kellie Adrienne Ebberup-krug Lcsw NPPES

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

KELLIE ADRIENNE EBBERUP-KRUG LCSW (NPI 1275177255) is an individual clinical provider in Whiteman Afb, Missouri, licensed in Missouri (2019038935) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275177255
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLIE ADRIENNE EBBERUP-KRUGCredential: LCSW
Location Address930 MORGAN DRIVEWhiteman Afb, MO 65305-1180
Mailing Address930 Morgan DriveWhiteman Afb, MO 65305-1180 · (901) 336-2626
Phone(901) 336-2626
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 1, 2019
Last NPPES UpdateDecember 6, 20192 updates tracked since enumeration
✔ NPI 1275177255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MO · 2019038935
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
930 MORGAN DRIVE, Whiteman Afb, MO 65305
Open in Google Maps ↗

Other Names 1

Former Name (1)Kellie Adrienne Krug

Other Identifiers 1

Medicaid490077188MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Adrienne Ebberup-krug Lcsw 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 ID2668893991
PECOS Enrollment IDI20250908003161
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65305 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
$0.00 typical visit price
range $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kellie Ebberup-krug's NPI number?

The NPI number for Kellie Ebberup-krug is 1275177255. It was assigned to this individual provider in the NPPES registry on November 1, 2019. The provider is also known as Kellie Adrienne Krug.

Where is Kellie Ebberup-krug located?

Kellie Ebberup-krug practices at 930 Morgan Drive, Whiteman Afb, MO 65305. The listed phone number is (901) 336-2626.

What is Kellie Ebberup-krug's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kellie Ebberup-krug enrolled in Medicare?

Yes. Kellie Ebberup-krug 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.

What insurance does Kellie Ebberup-krug accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Kellie Ebberup-krug 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.

When was this NPI record last updated?

The NPPES record for Kellie Ebberup-krug was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.