Active NPI
Kelli J Linn
- Certified Registered Nurse Anesthetist
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.16833-NA
- Practice address
- 3622 Belmont Ave
Suite 1
Youngstown, OH 44505-1450 - Phone
- (330) 759-9350
- NPI assigned
- Dec 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA.16833-NA | OH | Primary |
Addresses
Primary practice location
3622 Belmont Ave
Suite 1
Youngstown, OH 44505-1450
Mailing address
3622 Belmont Ave
Youngstown, OH 44505-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5959 Monclova Rd
Maumee, OH 43537-1888
Phone (419) 893-5911
Hospital & facility affiliations
- Promedica Toledo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.63 of 100
- Quality
- 23.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.16833-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A4 of Ohio, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| New Albany Orthopedic Anesthesia LLC | Current | Accepting new patients | |
| Ams Ohio PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Anesthesia Associates,Inc | Past | Accepting new patients |
Locations
1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900
5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
4235 Secor Rd
Bldg 2
Toledo, OH 43623
Phone (419) 473-3561
3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
3893 E Market St
Warren, OH 44484
Phone (330) 856-4000
465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546
Organizations & group practices 7
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
- Toledo, OH
- NPI 1255996567
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1093762635
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1558800532
Nurse Anesthetist, Certified Registered, OH
-
- Anesthesiology Physician
- Poland, OH
- NPI 1851656854
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1538117460
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1083012645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3622 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 BELMONT AVE",
"address_2": "SUITE 1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051450",
"telephone_number": "330-759-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINN",
"first_name": "KELLI",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.16833-NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.