KELLY REGINA PLANGE RN, MSN
NPI 1861110710
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Q: 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.

Q: 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.

Q: 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 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 August 17, 2022PECOS EnrolledAccepts Medicare Assignment

12070 OLD LINE CTR STE 211, WALDORF, MD 20602(202) 600-6748 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2025, Aug 17, 2022 (2 updates tracked since 2022).

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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 and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861110710

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY REGINA PLANGECredential: RN, MSN

Location Address12070 OLD LINE CTR STE 211Waldorf, MD 20602-2567

Mailing Address10082 Dressage DrUpper Marlboro, MD 20772-4685 · (571) 276-3609

Phone(202) 600-6748

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 17, 2022

Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1861110710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R241739

Also ListedRegistered NurseTaxonomy 163W00000X · License R241739 (MD)

12070 OLD LINE CTR STE 211, Waldorf, MD 20602

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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

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.

PECOS PAC ID6204334030

PECOS Enrollment IDI20250812000397

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.

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.

New Patient

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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 2

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

AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC

Clinic/Center (Multi-Specialty)

12070 OLD LINE CTR STE 211
SAINT CHARLES, MD 20602

Charles County (202) 600-6748

MS. SIYAMI EGBASE TAKHA CRNP

Nurse Practitioner (Psychiatric/Mental Health)

12070 OLD LINE CTR STE 211
SAINT CHARLES, MD 20602

Charles County (202) 600-6748

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.

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 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.