Active NPI
Kelli Hill Goldsborough, FNP-C
- Family Nurse Practitioner
- Mechanicsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R165295
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| St. Mary'S County Health Department | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | 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.
-
- Public Health or Welfare Agency
- Leonardtown, MD
- NPI 1417226770
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- Student Health Clinic/Center
- Mechanicsville, MD
- NPI 1811632771
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.