Patrick D. Kelsall Crna PLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PATRICK D. KELSALL CRNA PLC

Practice address

3319 Spring St Ste Suite202
Davenport, IA 52807-2125

Phone

(563) 355-6236

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Patrick Kelsall, CRNANPI 1275887044

Title

Owner

Phone

(800) 444-6110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick David Kelsall, CRNA

  • Certified Registered Nurse Anesthetist
  • Muscatine, IA
  • NPI 1275887044

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1184254989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450689",
            "telephone_number": "800-444-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 SPRING ST STE SUITE202",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072125",
            "telephone_number": "563-355-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK D. KELSALL CRNA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "KELSALL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-444-6110",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Parker, AU.D., CCC-A
• Leann Parks, PHARMD
• Tyler Parrish, DMD
• Pasadena Villa Iowa LLC (Pasadena Villa Outpatient- Quad Cities)
• Patel-Shah Dental Iowa PLLC
• John J Patton, MD
• Logan Michel Patton
• James F Paul, D.D.S., M.S., M.D.
• Allison Paulius
• David Ranier Pavlicek, D.C.

• Certified Registered Nurse Anesthetist in Davenport, IA
• Providers in Davenport, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.