Individual provider Active NPI

Kaycee Lorusso, MSN, FNP-C

  • Family Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1851197388
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R202183 Issued in MD
Practice address
8133 Leesburg Pike
Vienna, VA 22182-2751
Phone
(855) 479-4217
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 R202183 MD Primary

Addresses

Primary practice location

8133 Leesburg Pike
Vienna, VA 22182-2751

Mailing address

2029 Sams Creek Rd
Westminster, MD 21157-7836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250307000079 MD Practitioner - Nurse Practitioner 4688195522 Reassigns benefits to 1 organization
I20260429003861 DC Practitioner - Nurse Practitioner 4688195522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personic Virtual Clinic LLCGroup PAC ID 8729496849, 10 clinicians
Premium Healthcare LLCGroup PAC ID 0547667966, 6 clinicians

Practice addresses (Care Compare)

6095 Marshalee Dr
Suite 130
Elkridge, MD 21075-6082
Phone (855) 479-4217

7611 Little River Tpke
Suite 101W
Annandale, VA 22003-2604

8000 Towers Crescent Dr
Suite 1352
Vienna, VA 22182-6207
Phone (571) 833-0330

8133 Leesburg Pike
Suite 630
Vienna, VA 22182-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R202183MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Wound Care PC CurrentSince Feb 15, 2025 Accepting new patients
Personic Virtual Clinic LLC CurrentSince Feb 15, 2025 Accepting new patients

Locations

10320 Little Patuxent Pkwy
Ste 200
Columbia, MD 21044
Phone (703) 988-2360

6095 Marshalee Dr
Ste 130
Elkridge, MD 21075
Phone (410) 885-4727

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1851197388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 SAMS CREEK RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822751",
            "telephone_number": "855-479-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORUSSO",
        "first_name": "KAYCEE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R202183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.