Active NPI
Kelsey Squires Lennon, CRNA
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AC004750
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0100
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 21940 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | AC004750 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other practice location 2
101 Reedy View Dr Apt 174
Greenville, SC 29601-1827
Phone (410) 949-0715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, MD, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6720
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544
5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270
8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631
Hospital & facility affiliations
- Johns Hopkins Bayview Medical Center
- Luminis Health Anne Arundel Medical Center, Inc
- Johns Hopkins Howard County Medical Center
- University of MD Medical Center Midtown Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel MD Endoscopy ASC LLC | Current | Accepting new patients | |
| Bestgate Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifebridge Community Gastroenterology, LLC | Current | Accepting new patients | |
| Corridor Anesthesia, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| University of Maryland Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Johns Hopkins University | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Digestive Disease Associates, LLC | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pikesville MD Endoscopy ASC LLC | Current | Accepting new patients | |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Dr Wendy Kloesz, M.D., P.a | Past | Accepting new patients |
Locations
820 Bestgate Rd
Ste 1A
Annapolis, MD 21401
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
611 S Charles St
Baltimore, MD 21230
Phone (410) 328-6331
250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
4940 Eastern Ave
Baltimore, MD 21224
600 N Wolfe St
Baltimore, MD 21287
700 Geipe Rd
Ste 220
Catonsville, MD 21228
Phone (410) 242-3636
10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797
10710 Charter Dr
Ste 120
Columbia, MD 21044
Phone (410) 772-7345
7350 Van Dusen Rd
Ste 230
Laurel, MD 20707
Phone (301) 498-5500
7350 Van Dusen Rd
Ste 250
Laurel, MD 20707
Phone 3014985500116
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343
1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270
8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Interoperability endpoints
- klennon1016817@direct.umm.edu
- ksquires133072@direct.hopkinsmedicine.org
Organizations & group practices 16
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.
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
DC, Nurse Anesthetist, Certified Registered
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1568889327
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Laurel, MD
- NPI 1720053887
DC, Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Baltimore, MD
- NPI 1407400955
-
dba Woodholme Gastroenterology Associates
- Gastroenterology Physician
- Pikesville, MD
- NPI 1033558416
-
dba Shock Trauma Associates
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
dba Jhu - Anesthesia/Crna's
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1144201773
Nurse Anesthetist, Certified Registered
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Ambulatory Endoscopy Center of Maryland
- Ambulatory Surgical Clinic/Center
- Laurel, MD
- NPI 1609871680
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Johns Hopkins Howard County Medical Center
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
dba University of Maryland Medical Center Midtown Campus
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1063905867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423",
"fax_number": "410-500-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0100"
}
],
"practiceLocations": [
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Reedy View Dr Apt 174",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296011827",
"country_code": "US",
"telephone_number": "410-949-0715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENNON",
"first_name": "KELSEY",
"middle_name": "SQUIRES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "21940",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "AC004750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.