KELLIE NICOLE BURROUGHS APRN
NPI 1396366613
Nurse Practitioner in Baltimore, MD
About Kellie Nicole Burroughs Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE NICOLE BURROUGHS APRN (NPI 1396366613) is an individual nurse practitioner in Baltimore, Maryland, licensed in Texas (AP145721) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Kellie Nicole Burroughs Aprn 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 Kellie Burroughs 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
Linthicum Heights, MD 21090
- Reassigned Medicare billing, Maryland enrollment
- 121 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21239 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 21239
BALTIMORE, MD 21239
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 Burroughs's NPI number?
The NPI number for Kellie Burroughs is 1396366613. It was assigned to this individual provider in the NPPES registry on April 27, 2020.
Where is Kellie Burroughs located?
Kellie Burroughs practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (443) 444-4561.
What is Kellie Burroughs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kellie Burroughs enrolled in Medicare?
Yes. Kellie Burroughs 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 Kellie Burroughs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Burroughs reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Medstar Health Weight Management, LLC (Linthicum Heights, 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 Kellie Burroughs'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 Kellie Burroughs was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kellie Nicole Burroughs, APRN · NPI 1396366613
Nurse Practitioner physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 27, 2020.
## Identity
- **NPI:** 1396366613 (Entity type: Individual)
- **Enumerated:** April 27, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP145721 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5601 LOCH RAVEN BLVD, Baltimore, MD 21239-2950
- **Phone:** (443) 444-4561
## 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); Medstar Health Weight Management, LLC (NPI 1013785971, Linthicum Heights, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396366613) · Data from the CMS NPPES public registry.