Active NPI
Kellie Nicole Burroughs, APRN
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP145721
- Practice address
- 5601 Loch Raven Blvd
Baltimore, MD 21239-2950 - Phone
- (443) 444-4561
- NPI assigned
- Apr 27, 2020
- Last updated
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP145721 | TX | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Mailing address
420 W Slaughter LN Apt 1033
Austin, TX 78748-1756
Phone (410) 829-8804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Drexel University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-8000
821 W Benfield Rd
Suite 6
Severna Park, MD 21146-2220
Phone (410) 975-5447
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP145721 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Weight Management, LLC | Single Specialty | Current | Accepting new patients |
| Medstar Medical Group II LLC | Single Specialty | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
821 W Benfield Rd
Ste 6
Severna Park, MD 21146
Phone (410) 975-5447
Interoperability endpoints
- burroughs.kelli@ca-md.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Linthicum Heights, MD
- NPI 1013785971
Single Specialty
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
DC, Single Specialty
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar Good Samaritan
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1396366613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W SLAUGHTER LN APT 1033",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787481756",
"telephone_number": "410-829-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392950",
"telephone_number": "443-444-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "KELLIE",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP145721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.