Kelley Lynn Busam, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lexington, VA
NPI 1336902113 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1336902113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024189328 (VA)
- Practice address
- 110 Houston St Ste D
Lexington, VA 24450-2437 - Phone
- (540) 462-3950
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Emergency Services Inc
Practice addresses (Care Compare)
110 Houston St
Suite D
Lexington, VA 24450-2437
Phone (540) 591-9456
434 Peppers Ferry NW Rd
Christiansburg, VA 24073-5780
Phone (540) 382-6000
46 Wesley Rd
Daleville, VA 24083-3082
Phone (540) 591-9440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240411000124 | VA | Practitioner - Nurse Practitioner | 4981042843 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024189328 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Emergency Services, Inc. | Current |
Accepting new patients | |
| Carilion Healthcare Corporation | Current |
Accepting new patients | |
| Carilion Healthcare Corporation | Current |
Accepting new patients |
Locations
434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000
110 Houston St
Ste D
Lexington, VA 24450
Phone (540) 462-3950
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- kdoss76527@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024189328 | VA | Yes |
Addresses
Primary practice location
110 Houston St Ste D
Lexington, VA 24450-2437
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice location 1
131 Dor Rie Ln
Providence, NC 27315-9613
Phone (434) 203-0255
Other names
- Kelley Lynn Doss
Other providers in Lexington, VA
- Kelsey Brown
- Matthew Earle Bryant
- Teresa Elaine Bsullak
- Kaley Burgess
- Chad Burton
- Brianna Elizabeth Byerley
- Beatrice Byrne
- Sharon Cadd
- Ralph Dunham Caldroney
- Ruby Camden
All providers in Lexington, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.