KELLI MCCALLUM CRNP
NPI 1386022721
Nurse Practitioner - Family in Baltimore, MD
About Kelli Mccallum Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI MCCALLUM CRNP (NPI 1386022721) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R177915) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Kelli Mccallum 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelli Mccallum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21239
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 3,530 clinicians in this Medicare group
Rockville, MD 20852
- Reassigned Medicare billing, Maryland enrollment
- 83 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21201
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 Kelli Mccallum's NPI number?
The NPI number for Kelli Mccallum is 1386022721. It was assigned to this individual provider in the NPPES registry on May 18, 2015.
Where is Kelli Mccallum located?
Kelli Mccallum practices at 1040 Park Ave Ste 200, Baltimore, MD 21201. The listed phone number is (443) 738-0300.
What is Kelli Mccallum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelli Mccallum enrolled in Medicare?
Yes. Kelli Mccallum 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 Kelli Mccallum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Mccallum reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Harcart Health Holdings, LLC (Rockville, MD). 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 Kelli Mccallum'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 Kelli Mccallum was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kelli Mccallum, CRNP · NPI 1386022721
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since May 18, 2015.
## Identity
- **NPI:** 1386022721 (Entity type: Individual)
- **Enumerated:** May 18, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R177915 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1040 PARK AVE STE 200, Baltimore, MD 21201-5634
- **Phone:** (443) 738-0300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD); Harcart Health Holdings, LLC (NPI 1912911215, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1386022721) · Data from the CMS NPPES public registry.