Kelly Mitchell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1051246 Issued in AL

Practice address

1403 Wall Street
Cullman, AL 35055-0000

Phone

(256) 734-9472

Fax

(256) 734-9272

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cullman Regional Anesthesia Services LLCGroup PAC ID 2466785712, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Cullman Regional Anesthesia Services LLC

  • Anesthesiology Physician
  • Cullman, AL
  • NPI 1982163671
  Medicare reassignment Care Compare group NPD
• Cullman Regional Pain Services LLC

  • Anesthesiology Physician
  • Cullman, AL
  • NPI 1326507013
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Care Compare affiliation

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1184694135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-734-9472",
            "fax_number": "256-734-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 WALL STREET",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350550000",
            "telephone_number": "256-734-9472",
            "fax_number": "256-734-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KELLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1051246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033321",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delia Miller
• Frederick Miller
• Jessica Miller
• Rizzianne Pineda Miller, CRNA
• Kelley Milligan
• Nancy Lynn Mitchell, APRN FNP-BC
• Heaven Lei Mixon
• Teri L Mobley, CRNP
• Hasan Mohiuddin, MD
• Philip C Mongan, LCSW

• Certified Registered Nurse Anesthetist in Cullman, AL
• Providers in Cullman, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.