Michael Kelly, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN274303 Issued in MA

Practice address

300 Longwood Ave
Boston, MA 02115-5724

Phone

(617) 355-6000

NPI assigned

Feb 23, 2015

Last updated

Feb 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milford Anesthesia Consultants PCGroup PAC ID 0446671333, 43 clinicians

North American Partners in Anesthesia Massachusetts LLCGroup PAC ID 8820350713, 37 clinicians

Tri Anesthesia LLCGroup PAC ID 2062931215, 38 clinicians

Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

Merit-based Incentive Payment System (MIPS)

Final score

75.82 of 100Reported as group

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lowell Anesthesiology Service, Inc.

  • Anesthesiology Physician
  • Lowell, MA
  • NPI 1114927282
  Medicare reassignment Care Compare group NPD
• Milford Anesthesia Consultants PC

  • Anesthesiology Physician
  • Milford, MA
  • NPI 1437784261
  Medicare reassignment Care Compare group NPD
• North American Partners in Anesthesia Massachusetts LLC

  • Anesthesiology Physician
  • Fall River, MA
  • NPI 1457867020

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Tri Anesthesia LLC

  • Anesthesiology Physician
  • Worcester, MA
  • NPI 1275331761
  Medicare reassignment Care Compare group NPD
• Amsurg Mdsine Anesthesia LLC

  • Anesthesiology Physician
  • Springfield, MA
  • NPI 1932521366

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Professionals, Inc.

  • Certified Registered Nurse Anesthetist
  • Dartmouth, MA
  • NPI 1659346443

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Icon Anesthesia Services of New England LLC

  • Anesthesiology Physician
  • Middleton, MA
  • NPI 1629583323
  Medicare reassignment NPD
• Lowell Anesthesia Associates PLLC

  dba Lowell Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Lowell, MA
  • NPI 1063938934

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pioneer Sedation PLLC

  • Certified Registered Nurse Anesthetist
  • Springfield, MA
  • NPI 1154886810

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence General Hospital

  dba Merrimack Health Lawrence Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1023400462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ASHLAND ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN274303",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN274303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Dana Kelly, CPNP
• Mary Katherine Kelly, M.D.
• Megan Kelly
• Meghann E Kelly, MSW
• Melissa Rae Kelly, LICSW
• Michael James Kelly, M.D.
• Michael Stephen Kelly, MD
• Nancy Ann Kelly, NP
• Nancy Jean Kelly, OTR/L
• Nicholas James Kelly

• Certified Registered Nurse Anesthetist in Boston, MA
• Providers in Boston, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.