Individual provider Active NPI

Kelly Christina Dollinger, ACNP

  • Acute Care Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1407232978
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18782 Issued in SC
Practice address
2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710
Phone
(843) 577-6957
Fax
(843) 577-6523
NPI assigned
Aug 6, 2015
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 18782 SC Primary

Addresses

Primary practice location

2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710

Mailing address

PO Box 751874
Charlotte, NC 28275-1874
Phone (843) 402-5200

Other identifiers 1

IdentifierTypeStateIssuer
NP3380MedicaidSC

Other names 1

  • Kelly Christina Burtch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016001447 SC Practitioner - Nurse Practitioner 6305155169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710
Phone (843) 577-6957

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Hematology & Oncology Current Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Hematology & Oncology CurrentSince Nov 6, 2022 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Nov 6, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Nurse Practitioner CurrentSince Aug 13, 2015 Accepting new patients

Locations

125 Doughty St
Ste 500
Charleston, SC 29403
Phone (843) 577-2276

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957

2085 Henry Tecklenburg Dr
Fl 2
Charleston, SC 29414
Phone (843) 577-6957

Interoperability endpoints

  • Direct secure messaging: kburtch1252005@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1407232978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751874",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751874",
            "telephone_number": "843-402-5200",
            "fax_number": "843-402-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147710",
            "telephone_number": "843-577-6957",
            "fax_number": "843-577-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLINGER",
        "first_name": "KELLY",
        "middle_name": "CHRISTINA",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "18782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3380",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BURTCH",
            "middle_name": "CHRISTINA",
            "credential": "ACNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.