KELLY REGINA PLANGE RN, MSN
NPI 1861110710
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD
About Kelly Regina Plange Rn, Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY REGINA PLANGE RN, MSN (NPI 1861110710) is an individual psychiatric/mental health provider in Waldorf, Maryland, licensed in Maryland (R241739) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alexandria, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Kelly Regina Plange Rn, Msn 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 Kelly Plange reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Charles, MD 20602
- Reassigned Medicare billing, Maryland enrollment
- 4 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CHARLES, MD 20602
SAINT CHARLES, MD 20602
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 Kelly Plange's NPI number?
The NPI number for Kelly Plange is 1861110710. It was assigned to this individual provider in the NPPES registry on August 17, 2022.
Where is Kelly Plange located?
Kelly Plange practices at 12070 Old Line Ctr Ste 211, Waldorf, MD 20602. The listed phone number is (202) 600-6748.
What is Kelly Plange's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Plange enrolled in Medicare?
Yes. Kelly Plange 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 Kelly Plange's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Plange reassigns Medicare benefits to 2 organizations: Awesome Experience Psychiatric Services LLC (Saint Charles, MD) and Grow Healthcare Group PA (Miami, FL). 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 Kelly Plange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Plange accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and UnitedHealthcare list Kelly Plange 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.
When was this NPI record last updated?
The NPPES record for Kelly Plange was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kelly Regina Plange, RN, MSN · NPI 1861110710
Psychiatric/Mental Health physician in Waldorf, Maryland. Individual provider, active in the CMS NPPES registry since August 17, 2022.
## Identity
- **NPI:** 1861110710 (Entity type: Individual)
- **Enumerated:** August 17, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R241739 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12070 OLD LINE CTR STE 211, Waldorf, MD 20602-2567
- **Phone:** (202) 600-6748
## 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): Awesome Experience Psychiatric Services LLC (NPI 1457949018, Saint Charles, MD); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861110710) · Data from the CMS NPPES public registry.