Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Regina Plange, RN, MSN

Individual provider Registered Nurse · NPI 1861110710

Kelly Regina Plange, RN, MSN is a Nurse Practitioner in Waldorf, Maryland. Qualified in 2022, 4 years ago. Practices with Awesome Experience Psychiatric Services LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

12070 Old Line Ctr Ste 211
Waldorf, MD 20602-2567
Phone: (202) 600-6748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2501 Parkers Ln, Alexandria, VA 22306-3209 — (571) 276-3609

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R241739 (MD)
Registered Nurse Taxonomy 163W00000X · Licence R241739 (MD)

Record details

NPI number1861110710
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN
Sole proprietorYes
NPI enumeratedAugust 17, 2022
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Awesome Experience Psychiatric Services Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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