KADDIE KALLON
NPI 1427519404
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD
About Kaddie Kallon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KADDIE KALLON (NPI 1427519404) is an individual psychiatric/mental health provider in Laurel, Maryland, licensed in Maryland (R179511) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Kaddie Kallon 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
4Medicare enrollment records show Kaddie Kallon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Landover, MD 20785
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1801760293 (Maryland)
- 118 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, Maryland enrollment
- 5 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 132 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 104 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 9
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 20708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kaddie Kallon's NPI number?
The NPI number for Kaddie Kallon is 1427519404. It was assigned to this individual provider in the NPPES registry on March 30, 2019.
Where is Kaddie Kallon located?
Kaddie Kallon practices at 9524 Muirkirk Rd Apt 102, Laurel, MD 20708. The listed phone number is (240) 899-2928.
What is Kaddie Kallon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kaddie Kallon enrolled in Medicare?
Yes. Kaddie Kallon 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 Kaddie Kallon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaddie Kallon reassigns Medicare benefits to 4 organizations: Integrahealth LLC (Landover, MD), Fitzgerald Primary Care LLC (Baltimore, MD), Toller Enterprises LLC (Baltimore, MD) and Spiritual Healing (Baltimore, 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 Kaddie Kallon'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 Kaddie Kallon was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kaddie Kallon · NPI 1427519404
Psychiatric/Mental Health physician in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since March 30, 2019.
## Identity
- **NPI:** 1427519404 (Entity type: Individual)
- **Enumerated:** March 30, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R179511 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 9524 MUIRKIRK RD APT 102, Laurel, MD 20708-2737
- **Phone:** (240) 899-2928
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Integrahealth LLC (NPI 1801760137, Landover, MD); Fitzgerald Primary Care LLC (NPI 1033802848, Baltimore, MD); Toller Enterprises LLC (NPI 1821694084, Baltimore, MD); Spiritual Healing (NPI 1003502337, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427519404) · Data from the CMS NPPES public registry.