Individual provider Active NPI

Kelly Ann Kleifges, NP

  • Nurse Practitioner
  • Potomac, MD
National Provider Identifier
1447973714
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R256015 Issued in MD
Practice address
7811 Montrose Rd Ste 340
Potomac, MD 20854-3363
Phone
(301) 588-7888
Fax
(301) 588-3419
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R256015 MD Primary

Addresses

Primary practice location

7811 Montrose Rd Ste 340
Potomac, MD 20854-3363

Mailing address

7811 Montrose Rd Ste 340
Potomac, MD 20854-3363
Phone (301) 588-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20221028000023 DC Practitioner - Nurse Practitioner 6507233962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

7811 Montrose Rd
Suite 340
Potomac, MD 20854-3359
Phone (301) 588-7888

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R256015MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 7, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2023 Accepting new patients
Metro Orthopedics and Sports Therapy Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

7811 Montrose Rd
Ste 340
Potomac, MD 20854
Phone (301) 588-7888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21345/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.kleifges.1@8042.direct.athenahealth.com
  • Direct secure messaging: kelly.kleifges.1@21345.direct.athenahealth.com

Organizations & group practices 4

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1447973714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 MONTROSE RD STE 340",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543363",
            "telephone_number": "301-588-7888",
            "fax_number": "301-588-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 MONTROSE RD STE 340",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543363",
            "telephone_number": "301-588-7888",
            "fax_number": "301-588-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIFGES",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R256015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.