Kelly Russell Burris, NP - Medicare Nurse Practitioner in Fries, VA

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Kelly Russell Burris, NP is a medicare enrolled "Nurse Practitioner - Family" in Fries, Virginia. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tri Area Community Health and her current practice location is 109 Carrol Dr, Fries, Virginia. You can reach out to her office (for appointments etc.) via phone at (888) 908-4788.

Kelly Russell Burris is licensed to practice in Virginia (license number 0021469439) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194011007.

Contact Information

Kelly Russell Burris, NP
109 Carrol Dr,
Fries, VA 24330-4532
(888) 908-4788
(276) 398-3331

Map and Direction




Provider's Profile

Full NameKelly Russell Burris
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location109 Carrol Dr, Fries, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Russell Burris graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1194011007
  • Provider Enumeration Date: 06/20/2011
  • Last Update Date: 10/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8426227729
  • Enrollment ID: I20110802000695

Medical Identifiers

Medical identifiers for Kelly Russell Burris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194011007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5007750 (North Carolina)Secondary
363L00000XNurse Practitioner 5007750 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 0021469439 (Virginia)Primary
363L00000XNurse Practitioner 0024169439 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Access Home Health Care And RehabilitationGalax, VAHome health agency
Twin County Regional HospitalGalax, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri Area Community Health620474829630

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Russell Burris allows following entities to bill medicare on her behalf.
Entity NameTri Area Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346227584
PECOS PAC ID: 6204748296
Enrollment ID: O20040122000969
Entity NameEmergency Physicians Of Southern Virginia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417187667
PECOS PAC ID: 0345236568
Enrollment ID: O20040422001520
Entity NameEmergency Coverage Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20061003000679

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Russell Burris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Russell Burris, NP
Po Box 9,
Laurel Fork, VA 24352-0009

Ph: (276) 398-1200		Kelly Russell Burris, NP
109 Carrol Dr,
Fries, VA 24330-4532

Ph: (888) 908-4788

Reviews and Comments


Nurse Practitioner Nurses in Fries, VA

Heather Richardson, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 279 Gladeview Dr, Fries, VA 24330
Phone: 276-233-7864    
Joy K Creed, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Carroll Drive, Fries, VA 24330
Phone: 888-908-4788    Fax: 276-398-2094

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.