Kellie Mann, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

622530 Issued in NY

Practice address

1201 Nott St
Suite 106
Schenectady, NY 12308-2589

Phone

(518) 374-3123

Fax

(518) 374-9711

NPI assigned

Nov 18, 2016

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Ec LLCGroup PAC ID 9436395910, 7 clinicians

Colonie ASC LLCGroup PAC ID 2860766086, 8 clinicians

Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians

Westmoreland ASC LLCGroup PAC ID 9638490451, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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

• Colonie ASC LLC

  • Certified Registered Nurse Anesthetist
  • Latham, NY
  • NPI 1013883982

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• North Country Ec LLC

  • Certified Registered Nurse Anesthetist
  • Wilton, NY
  • NPI 1760171680

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ultracare Anesthesia Partners LLC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1407236110

  Nurse Anesthetist, Certified Registered, NY

  Medicare reassignment Care Compare group NPD
• Westmoreland ASC, LLC

  • Anesthesiology Physician
  • Westmoreland, NY
  • NPI 1699254169
  Medicare reassignment Care Compare group
• New England Laser and Cosmetic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Latham, NY
  • NPI 1053303826
  Medicare reassignment NPD
• Schenectady Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Schenectady, NY
  • NPI 1457352411

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kwiat Eye and Laser Surgery PLLC

  • Ophthalmology Physician
  • Amsterdam, NY
  • NPI 1275763468
  Medicare reassignment

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1184167462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 106",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-374-3123",
            "fax_number": "518-374-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE 106",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-374-3123",
            "fax_number": "518-374-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "KELLIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "622530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Manchester, APRN-BC
• Margaret Lisa Maney, RD
• Kacy Mang, RN
• Sandeep Shrihari Mangalmurti, MD
• Brianna Mann, MSED
• Kalliopi Manolopoulos, LMSW
• Denis P Manor, M.D.
• Roberta Buckley Mansen, FNP
• Michael J Mansky, L.A.D.C.-P
• John Mantas, RN

• Certified Registered Nurse Anesthetist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.