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

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: October 25, 2026.

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

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 Central Vermont Medical Center, 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
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

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

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

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 IDI20250708000265
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaley Kinnamon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
Audiologist
4260 PLYMOUTH RD
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 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.

Hospital Affiliations CMS Care Compare 2

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

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.

Internal Medicine
1 S PROSPECT ST
BURLINGTON, VT 05401
Dietitian, Registered (Nutrition, Renal)
1 S PROSPECT ST, UHC ARNOLD 2318, RENAL CLINIC
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401
Social Worker (Clinical)
1 S PROSPECT ST
BURLINGTON, VT 05401
Pediatrics
1 S PROSPECT ST
BURLINGTON, VT 05401
Counselor
1 S PROSPECT ST
BURLINGTON, VT 05401
Pharmacist
1 S PROSPECT ST
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401

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 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.

Where is Kaley Kinnamon located?

Kaley Kinnamon practices at 1 S Prospect St, Burlington, VT 05401. The listed phone number is (802) 847-0000.

What is Kaley Kinnamon's specialty?

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

Is Kaley Kinnamon enrolled in Medicare?

Yes. Kaley Kinnamon 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 Kaley Kinnamon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaley Kinnamon reassigns Medicare benefits to 2 organizations: University Of Vermont Medical Center Inc (Burlington, VT) and Regents Of The University Of Michigan (Ann Arbor, MI). 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 Kaley Kinnamon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaley Kinnamon accept?

Health plans from Anthem Blue Cross and Blue Shield list Kaley Kinnamon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kaley Kinnamon affiliated with any hospitals?

According to CMS data, Kaley Kinnamon is affiliated with Central Vermont Medical Center and Univ. Of Vermont - Fletcher Allen Health Care.

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 16 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.