MS. KELLEY LYNN BUSAM FNP-C
NPI 1336902113
Nurse Practitioner - Family in Lexington, VA

Active since February 05, 2024PECOS EnrolledAccepts Medicare Assignment
110 HOUSTON ST STE D, LEXINGTON, VA 24450(540) 462-3950 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2025, Feb 5, 2024 (2 updates tracked since 2024).

About Ms. Kelley Lynn Busam Fnp-c NPPES

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

MS. KELLEY LYNN BUSAM FNP-C (NPI 1336902113) is an individual family provider in Lexington, Virginia, licensed in Virginia (0024189328) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336902113
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLEY LYNN BUSAMCredential: FNP-C
Location Address110 HOUSTON ST STE DLexington, VA 24450-2437
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 5, 2024
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1336902113 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 VA · 0024189328
110 HOUSTON ST STE D, Lexington, VA 24450

Other Names 1

Former Name (1)Kelley Lynn Doss

Secondary Practice Location 1

Location 1131 Dor Rie LnProvidence, NC 27315-9613 · Phone (434) 203-0255

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

Ms. Kelley Lynn Busam Fnp-c 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 ID4981042843
PECOS Enrollment IDI20240411000124
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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 4

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

Family Medicine
110 HOUSTON ST STE D
LEXINGTON, VA 24450
Nurse Practitioner (Family)
110 HOUSTON ST STE D
LEXINGTON, VA 24450
Nurse Practitioner (Family)
110 HOUSTON ST STE D
LEXINGTON, VA 24450
Nurse Practitioner (Family)
110 HOUSTON ST STE D
LEXINGTON, VA 24450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336902113, enumerated as an "individual" on February 05, 2024.

The provider is located at 110 HOUSTON ST STE D LEXINGTON, VA 24450 and the phone number is (540) 462-3950.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.