KELLY RUSSELL BURRIS (NP) – Family Nurse Practitioner, NPI 1194011007
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for KELLY RUSSELL BURRIS (NP)
401 TECHNOLOGY LN
MOUNT AIRY, NC 270306692
Phone: (336) 789-2922
Fax: (336) 789-0856
Type: Mailing
2000 GREEN ROAD
ANN ARBOR, MI 48105
Phone: (734) 686-6362
Type: Location
PO BOX 9
LAUREL FORK, VA 243520009
Phone: (276) 398-1200
Fax: (336) 789-0856
Type: Mailing
109 CARROL DR
FRIES, VA 243304532
Phone: (888) 908-4788
Fax: (276) 398-3331
Type: Location
200 Maroon Tide Dr
Galax, VA 243334238
Phone: (888) 908-4788
Fax: (276) 398-3331
Type: Location
14558 Danville Pike
Laurel Fork, VA 243523982
Phone: (276) 398-2292
Fax: (276) 398-3331
Type: Location
1427 EDGEWOOD DR STE 101
MOUNT AIRY, NC 270305215
Phone: (336) 789-2922
Fax: (336) 789-0856
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $369.
Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($186).
Total Amount
$369
General + Research + Ownership
Payments
13
Total payment records
General Amount
$369
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $186 |
| Boston Scientific Corporation | $115 |
| Novo Nordisk Inc | $31 |
| Lundbeck LLC | $22 |
| GlaxoSmithKline, LLC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110802000695 | I | Nurse Practitioner | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 27030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Registered Dietitian Or Nutrition Professional | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Family Practice | VA |
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