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KELLIE NICOLE BURROUGHS APRN
NPI 1396366613
Nurse Practitioner in Baltimore, MD

Active since April 27, 2020PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239(443) 444-4561 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, is affiliated with Medstar Good Samaritan Hospital, and is a graduate of Drexel University College Of Medicine (2019).

NPPES Registry Identity

NPI1396366613
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLIE NICOLE BURROUGHSCredential: APRN
Location Address5601 LOCH RAVEN BLVDBaltimore, MD 21239-2950
Mailing Address420 W Slaughter Ln Apt 1033Austin, TX 78748-1756 · (410) 829-8804
Phone(443) 444-4561
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2019
Enumeration DateApril 27, 2020
Last NPPES UpdateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1396366613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP145721
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5601 LOCH RAVEN BLVD, Baltimore, MD 21239
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 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.

PECOS PAC ID5294120788
PECOS Enrollment IDI20220321000035
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
135 services88 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
132 services97 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
119 services94 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
98 services91 patients

Hospital Affiliations CMS Care Compare

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

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

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.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

JACQUELINE L. HOOVER P.A.-C
Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Baltimore City (443) 444-4730
DR. TIFFANI DANIELLE PITTMAN M.D.
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4863
DR. SUJAN THAPALIYA M.D.
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-0363
SHARAREH SHERRY BADRI M.D.
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100
ALAYNA MARIE BLAZAKIS CRNP
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4275
DR. ELIAS K SHAYA M.D.
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Baltimore City (410) 532-4540
CANDICE DIOR JORDAN M.D.
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-5655
SONJA STANTON RN BSN
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100

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.

Is Kellie Burroughs affiliated with any hospitals?

According to CMS data, Kellie Burroughs is affiliated with Medstar Good Samaritan Hospital.

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 11 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.