Kelly N Petz, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0001191107 Issued in VA

Practice address

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Phone

(800) 394-4445

Fax

(706) 955-0720

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly S Nevins Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

University of Maryland Anesthesiology Associates PAGroup PAC ID 8022905306, 136 clinicians

Surgical Anesthesia Associates PLLCGroup PAC ID 5890739205, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039
• University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpetz51486@direct.hopkinsmedicine.org

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

• Anesthesia Company, LLC

  • Anesthesiology Physician
  • Annapolis, MD
  • NPI 1871548156

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Surgical Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1811930647
  Medicare reassignment Care Compare group NPD
• University of Maryland Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1720024235
  Medicare reassignment Care Compare group NPD
• Medstar Medical Group Anesthesiology LLC

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1528578333
  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• North American Partners in Anesthesia Maryland LLC

  • Anesthesiology Physician
  • Prince Frederick, MD
  • NPI 1093707879

  DC

  Medicare reassignment NPD
• Shock Trauma Associates, P.a.

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909
  Medicare reassignment NPD
• University of Maryland Medical System Corporation

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
  • NPI 1508807355

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Maryland Expresscare LLC

  • Land Ambulance
  • Baltimore, MD
  • NPI 1134835911
  NPD
• Medstar Medical Group Anesthesiology LLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1558976175
  NPD
• American Anesthesiology Associates of Virginia, Inc

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1528059896
  NPD (past)
• Medstar Georgetown Medical Center, Inc

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1285636522
  NPD (past)

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

• Calverthealth Medical Center, Inc.

  • General Acute Care Hospital
  • Prince Frederick, MD
  • NPI 1457389298
  Care Compare affiliation
• University of Maryland Medical Center, LLC

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1174660120
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1033200027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23955 MILL COVE RD",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206193576",
            "telephone_number": "301-737-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "800-394-4445",
            "fax_number": "706-955-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZ",
        "first_name": "KELLY",
        "middle_name": "N",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001191107",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "127961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "NEVINS",
            "middle_name": "S",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Petersen, LCSW-C
• Diane Elizabeth Peterson, LCSW
• Jeffrey Peterson
• John Petrasky, M.D., M.P.H.
• Petti Pathways Counseling
• Stephanie Peyton
• Sandra Pezzillo, DPT
• Gina Elizabeth Pezzuto
• Tamara Lynne Pfile-Stohr, MA, CAGS
• Danielle B. Pfost-Banks, LCSW

• Certified Registered Nurse Anesthetist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.