Individual provider Active NPI

Kelly Keller-James

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1427766203
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R168856 Issued in MD
Practice address
4546 Hidden Stream CT
Owings Mills, MD 21117-4837
Phone
(410) 294-0278
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R168856 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R168856 MD Primary

Addresses

Primary practice location

4546 Hidden Stream CT
Owings Mills, MD 21117-4837

Mailing address

4546 Hidden Stream CT
Owings Mills, MD 21117-4837
Phone (410) 294-0278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230414000384 MD Practitioner - Nurse Practitioner 0941675490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fidel Integrated Medical Solutions PCGroup PAC ID 6406165521, 6 clinicians
PD Associates IncGroup PAC ID 5092089300, 3 clinicians

Practice addresses (Care Compare)

1866 Reisterstown Rd
Suite F
Pikesville, MD 21208-1335
Phone (410) 484-5642

2 W Rolling XRDS
Suite 206
Catonsville, MD 21228-6211
Phone (410) 881-2787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fidel Integrated Medical Solutions PC Family CurrentSince Apr 19, 2023 Accepting new patients
PD Associates Inc Family CurrentSince Dec 5, 2024 Accepting new patients
Fidel Chiropractic Center, Inc. PastSince Jan 1, 2010 Accepting new patients

Locations

2 W Rolling Xrds
Ste 206
Catonsville, MD 21228
Phone (410) 402-9990

1866 Reisterstown Rd
#F
Pikesville, MD 21208
Phone (410) 358-0060

1866F Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-5642

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1427766203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 HIDDEN STREAM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174837",
            "telephone_number": "410-294-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 HIDDEN STREAM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174837",
            "telephone_number": "410-294-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER-JAMES",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168856",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R168856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.