Active NPI
Mariah Kelly, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Albert Lea, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2323
- Practice address
- 404 W Fountain St
Albert Lea, MN 56007-2437 - Phone
- (507) 373-2384
- NPI assigned
- Feb 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2323 | MN | Primary |
Addresses
Primary practice location
404 W Fountain St
Albert Lea, MN 56007-2437
Mailing address
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkelly147489@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
Hospital & facility affiliations
- Mayo Clinic Health System - Albert Lea and Austin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2323 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
Interoperability endpoints
- mkelly147489@ehrdirect.mayoclinicmsg.org
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.
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
- Multi-Specialty Clinic/Center
- Cannon Falls, MN
- NPI 1497281695
-
- Clinic Pharmacy
- Cannon Falls, MN
- NPI 1699597468
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1194282541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W FOUNTAIN ST",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072437",
"telephone_number": "507-373-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W FOUNTAIN ST",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072437",
"telephone_number": "507-373-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MARIAH",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2323",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkelly147489@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "404 W Fountain St",
"city": "Albert Lea",
"state": "MN",
"country_code": "US",
"postal_code": "560072437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albert Lea, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.