Individual provider Active NPI

Kelly Marie Nocella, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1235594433
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
700451 Issued in PA
Practice address
1840 South St
Philadelphia, PA 19146-7411
Phone
(856) 278-6469
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 26NR16792200 NJ
Certified Registered Nurse Anesthetist 367500000X 700451 PA Primary

Addresses

Primary practice location

1840 South St
Philadelphia, PA 19146-7411

Mailing address

844 Perkiomen St
Philadelphia, PA 19130-2134

Other practice location 1

325 Chestnut St
Philadelphia, PA 19106-2614
Phone (610) 891-3229

Other identifiers 1

IdentifierTypeStateIssuer
1235594433MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ?

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160202000046 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628372208 Reassigns benefits to 2 organizations
I20160801001717 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628372208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Society Hill Anesthesia Consultants PCGroup PAC ID 5991617292, 210 clinicians

Practice addresses (Care Compare)

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5664

Hospital & facility affiliations

  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
700451PAMDPain Management Registered Nurse
26NR16792200NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Society Hill Anesthesia Consultants of New Jersey, PC Anesthesiology CurrentSince May 10, 2016 Accepting new patients
Xenon Anesthesia of Pennsylvania PLLC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Society Hill Anesthesia Consultants, PC Anesthesiology CurrentSince Feb 16, 2016 Accepting new patients

Locations

408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700

301 S 8th St
Ste 2L
Philadelphia, PA 19106
Phone (215) 829-7260

1515 Market St
Ste 1200
Philadelphia, PA 19102
Phone (215) 259-8078

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

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.

Hospital & facility affiliations 2

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1235594433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 PERKIOMEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191467411",
            "telephone_number": "856-278-6469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191062614",
            "country_code": "US",
            "telephone_number": "610-891-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOCELLA",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "26NR16792200",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "700451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235594433",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "?",
            "affiliation": "N",
            "address_1": "1840 South St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191467411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.