KALEY KINNAMON MD
NPI 1669009395
Psychiatry & Neurology - Neurology in Burlington, VT

Q: What is Kaley Kinnamon's NPI number?

The NPI number for Kaley Kinnamon is 1669009395. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Kaley Kinnamon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kaley Kinnamon was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment

1 S PROSPECT ST, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2025, Jul 3, 2024, Jun 27, 2024 and 1 more (4 updates tracked since 2020).

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About Kaley Kinnamon Md NPPES

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

KALEY KINNAMON MD (NPI 1669009395) is an individual neurology provider in Burlington, Vermont, licensed in Vermont (042.0018733) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669009395

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameKALEY KINNAMONCredential: MD

Location Address1 S PROSPECT STBurlington, VT 05401-3456

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(802) 847-0000

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1669009395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in VT · 042.0018733✔ Licensed in MI · 4301511912

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Sports MedicineTaxonomy 2084S0010X · License 4301511912 (MI)

1 S PROSPECT ST, Burlington, VT 05401

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Secondary Practice Locations 2

Location 14000 Ave Maria DrAnn Arbor, MI 48105-9387 · Phone (620) 755-6618

Location 21500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Kaley Kinnamon Md 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 ID6406277466

PECOS Enrollment IDI20240722003249, I20250708000265

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.

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$127.71 typical visit price

range $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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 20

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

MRS. DESIREE DE WAAL R.D.

Dietitian, Registered (Nutrition, Renal)

1 S PROSPECT ST, UHC ARNOLD 2318, RENAL CLINIC
BURLINGTON, VT 05401

Chittenden County (802) 847-3203

REBECCA BURCH M.D.

Psychiatry & Neurology (Neurology)