Active NPI
Virginia Lane Kelly, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 14631
- Practice address
- 2121 Medical Centre Way
Suite 100
Knoxville, TN 37920 - Phone
- (606) 337-3051
- Fax
- (606) 337-2871
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1072826/4024A | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 14631 | TN | Primary |
Addresses
Primary practice location
2121 Medical Centre Way
Suite 100
Knoxville, TN 37920
Mailing address
9000 Executive Park Drive - Upa Physicians
C200
Knoxville, TN 37923
Phone (865) 670-6700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74006362 | Medicaid | KY | |
| 000000276584 | Other | ANTHEM BC&BS | |
| P00078424 | Other | KY | RAILROAD MEDICARE |
Other names 1
- Virginia Lane Evans
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100106000410 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951332584 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Group of Knoxville PLLCAmerican Anesthesiology of Tennessee PC
Practice addresses (Care Compare)
1128 E Weisgarber Rd
Suite 100
Knoxville, TN 37909-2677
Phone (865) 251-5215
7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 546-8040
Hospital & facility affiliations
- Physicians Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4024 | KY | MD | Social Worker |
| 1072826/4024A | KY | MD | Certified Registered Nurse Anesthetist |
| 14631 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Group of Knoxville PLLC | Current | Accepting new patients | |
| Knoxville Spine Surgery LLC | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Past | Accepting new patients |
Locations
10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
1128 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone (865) 251-5215
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered, TN
-
- Ambulatory Surgical Clinic/Center
- Knoxville, TN
- NPI 1093570426
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
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": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1184619306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 EXECUTIVE PARK DRIVE - UPA PHYSICIANS",
"address_2": "C200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37923",
"telephone_number": "865-670-6700",
"fax_number": "865-670-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MEDICAL CENTRE WAY",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37920",
"telephone_number": "606-337-3051",
"fax_number": "606-337-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "VIRGINIA",
"middle_name": "LANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1072826/4024A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "14631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74006362",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC&BS",
"identifier": "000000276584",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00078424",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "EVANS",
"middle_name": "LANE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.