Individual provider Active NPI

Kelli Hill Goldsborough, FNP-C

  • Family Nurse Practitioner
  • Mechanicsville, MD
National Provider Identifier
1912485244
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R165295 Issued in MD
Practice address
29675 Point Lookout Rd
Mechanicsville, MD 20659-5240
Phone
(240) 434-6060
Fax
(301) 363-0616
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R165295 MD Primary
Wound Care Registered Nurse 163WW0000X R165295 MD
Primary Care Nurse Practitioner 363LP2300X R165295 MD

Addresses

Primary practice location

29675 Point Lookout Rd
Mechanicsville, MD 20659-5240

Mailing address

21580 Peabody St
PO Box 316
Leonardtown, MD 20650-2962
Phone (301) 475-4330

Other practice location 1

19856 Three Notch Rd
Lexington Park, MD 20653-3560
Phone (240) 434-6059

Other practice location 2

21580 Peabody St
Leonardtown, MD 20650-2962
Phone (301) 475-4330

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
I20180926000132 MD Practitioner - Nurse Practitioner 1850642133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S County Health DepartmentGroup PAC ID 4183784846, 4 clinicians

Practice addresses (Care Compare)

21580 Peabody St
Leonardtown, MD 20650-2962
Phone (301) 475-4298

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 21, 2018 Accepting new patients
St. Mary'S County Health Department CurrentSince Aug 29, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 21, 2018 Accepting new patients
St. Mary'S County Health Department Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

5 N La Plata Ct
Ste 101
La Plata, MD 20646
Phone (301) 609-5044

21580 Peabody St
Leonardtown, MD 20650
Phone (301) 475-4298

19856 Three Notch Rd
Lexington Park, MD 20653
Phone (240) 434-6059

21625 Great Mills Rd
Lexington Park, MD 20653
Phone (240) 717-6778

29675 Point Lookout Rd
Mechanicsville, MD 20659
Phone (240) 434-6060

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1912485244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 PEABODY ST",
            "address_2": "PO BOX 316",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502962",
            "telephone_number": "301-475-4330",
            "fax_number": "301-475-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29675 POINT LOOKOUT RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206595240",
            "telephone_number": "240-434-6060",
            "fax_number": "301-363-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19856 Three Notch Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206533560",
            "country_code": "US",
            "telephone_number": "240-434-6059",
            "fax_number": "301-363-0616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21580 Peabody St",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206502962",
            "country_code": "US",
            "telephone_number": "301-475-4330",
            "fax_number": "301-475-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSBOROUGH",
        "first_name": "KELLI",
        "middle_name": "HILL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R165295",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MD",
            "license": "R165295",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R165295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

Verify at the official NPI Registry.