Individual provider Active NPI

Kelly Malee

  • Family Nurse Practitioner
  • Sparks, MD
National Provider Identifier
1629958566
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033740 Issued in PA
Practice address
909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone
(443) 383-9300
NPI assigned
Sep 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP033740 PA Primary

Addresses

Primary practice location

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477

Mailing address

1419 W 40TH St
Erie, PA 16509-1235
Phone (814) 528-1065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251001000483 PA Practitioner - Nurse Practitioner 7719483585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1419 W 40TH St
Erie, PA 16509-1235

17177 N Laurel Park Dr
Livonia, MI 48152-3938

909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474

PO Box
Chicago, IL 60674

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Oct 30, 2025 Accepting new patients
Consonant Healing Medical Associates CurrentSince Aug 29, 2025 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

50 N Pennsylvania Ave
#V
Wilkes Barre, PA 18701

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1629958566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W 40TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091235",
            "telephone_number": "814-528-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEE",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, MD

Sources for this page

Verify at the official NPI Registry.