Individual provider Active NPI

Kelsey Squires Lennon, CRNA

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1063905867
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AC004750 Issued in MD
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

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180920002461 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981955598 Reassigns benefits to 1 organization
I20221124000099 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981955598 Reassigns benefits to 7 organizations
I20230123001078 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981955598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Laurel MD Endoscopy ASC LLC Current Accepting new patients
Bestgate Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 16, 2023 Accepting new patients
Lifebridge Community Gastroenterology, LLC CurrentSince Dec 15, 2022 Accepting new patients
Corridor Anesthesia, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
University of Maryland Anesthesiology Associates, P.a. CurrentSince Jun 29, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Jul 30, 2018 Accepting new patients
Johns Hopkins University Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Digestive Disease Associates, LLC CurrentSince Dec 1, 2022 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Jan 11, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Jul 30, 2018 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2023 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

  • Direct secure messaging: klennon1016817@direct.umm.edu
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 6

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

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.

Verify at the official NPI Registry.