Individual provider Active NPI

Brittany Lynn Kelly

  • Certified Registered Nurse Anesthetist
  • Rochester, MI
National Provider Identifier
1124396809
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704251595 Issued in MI
Practice address
1101 West University Drive
Rochester, MI 48307
Phone
(248) 652-5354
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704251595 MI
Certified Registered Nurse Anesthetist 367500000X 4704251595 MI Primary

Addresses

Primary practice location

1101 West University Drive
Rochester, MI 48307

Mailing address

52274 Melody Dr
Macomb, MI 48042
Phone (313) 550-4943

Other names 1

  • Brittany Lynn Majors Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000562 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921268384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Rochester HospitalGroup PAC ID 8820994098, 104 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000

Hospital & facility affiliations

  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704251595MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Rochester Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2016 Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Jan 1, 2021 Accepting new patients

Locations

7560 Solutions Ctr
Chicago, IL 60677

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

Interoperability endpoints

  • Direct secure messaging: bkelly1134380@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1124396809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52274 MELODY DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "313-550-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEST UNIVERSITY DRIVE",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-652-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704251595",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704251595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "MAJORS",
            "middle_name": "LYNN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.