Rebecca Jane Kelley, DNP, CRNP, A-GNP-C - Medicare Nurse Practitioner in Glen Burnie, MD

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Rebecca Jane Kelley, DNP, CRNP, A-GNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Glen Burnie, Maryland. Her current practice location is 1600 Crain Hwy S Ste 502, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 766-8911.

Rebecca Jane Kelley is licensed to practice in Maryland (license number R177796) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679292007.

Contact Information

Rebecca Jane Kelley, DNP, CRNP, A-GNP-C
1600 Crain Hwy S Ste 502,
Glen Burnie, MD 21061-6441
(410) 766-8911
Not Available

Map and Direction




Provider's Profile

Full NameRebecca Jane Kelley
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1600 Crain Hwy S Ste 502, Glen Burnie, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679292007
  • Provider Enumeration Date: 08/29/2022
  • Last Update Date: 05/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294103420
  • Enrollment ID: I20221121000008

Medical Identifiers

Medical identifiers for Rebecca Jane Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679292007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health R177796 (Maryland)Primary

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. Rebecca Jane Kelley allows following entities to bill medicare on her behalf.
Entity NameMaryland Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718256
PECOS PAC ID: 5092629394
Enrollment ID: O20031119000273
Entity NameSt Paul Place Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871549196
PECOS PAC ID: 7719882943
Enrollment ID: O20031202000084
Entity NamePersonal Physician Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326274853
PECOS PAC ID: 3274683289
Enrollment ID: O20090615000031
Entity NameBhawna Bahethi, Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457685380
PECOS PAC ID: 2163561879
Enrollment ID: O20091209000064
Entity NameEmergency Physicians Spps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760885958
PECOS PAC ID: 0648594036
Enrollment ID: O20150113000263

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. Rebecca Jane Kelley 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
Rebecca Jane Kelley, DNP, CRNP, A-GNP-C
7401 Campbell Dr,
Severn, MD 21144-2774

Ph: (410) 766-8911		Rebecca Jane Kelley, DNP, CRNP, A-GNP-C
1600 Crain Hwy S Ste 502,
Glen Burnie, MD 21061-6441

Ph: (410) 766-8911

Reviews and Comments


Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH
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Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060
Phone: 410-768-8200    
Mrs. Theresa Eileen Deveaux, CRNP
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Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061
Phone: 410-553-8300    Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP
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Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061
Phone: 410-552-8154    Fax: 410-553-8134
Mary Bourbon,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061
Phone: 410-768-5050    
Christine Marie Habersaat, CPNP
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Medicare: Medicare Enrolled
Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061
Phone: 410-582-9434    
Opemipo Doyin Ogeyingbo, CRNP
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Practice Location: 464 Norvelle Ct, Glen Burnie, MD 21061
Phone: 301-592-7286    
Michael Booth,
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Medicare: Accepting Medicare Assignments
Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061
Phone: 410-787-4000    

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.