Active NPI
Kelly Marie Nocella, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 700451
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235594433 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ? |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
Enrollment records 2
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
Practice addresses (Care Compare)
800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5664
Hospital & facility affiliations
- Pennsylvania Hospital
- Wills Eye Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700451 | PA | MD | Pain Management Registered Nurse |
| 26NR16792200 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Society Hill Anesthesia Consultants of New Jersey, PC | Anesthesiology | Current | Accepting new patients |
| Xenon Anesthesia of Pennsylvania PLLC | Anesthesiology | Current | Accepting new patients |
| Society Hill Anesthesia Consultants, PC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1780114173
-
- Anesthesiology Physician
- Cherry Hill, NJ
- NPI 1396797445
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Philadelphia, PA
- NPI 1881899284
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
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.