Individual provider Active NPI

Kelly Anne Kaufman, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1245303940
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 095531 Issued in AZ
Practice address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone
(602) 344-5418
Fax
(602) 344-0779
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN 095531 AZ Primary
Certified Registered Nurse Anesthetist 367500000X CRNA0478 AZ

Addresses

Primary practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Other identifiers 1

IdentifierTypeStateIssuer
166299MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000581 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214938992 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone (602) 914-1520

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
79.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 095531AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2015 Accepting new patients
Dec Anesthesia LLC CurrentSince Sep 6, 2011 Accepting new patients
Legacy Anesthesia LLC CurrentSince Jun 1, 2020 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Mar 17, 2012 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jun 1, 2024 Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jun 1, 2024 Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

2450 E Guadalupe Rd
Ste 101
Gilbert, AZ 85234
Phone (480) 398-8456

18555 N 79th Ave
Bldg C
Glendale, AZ 85308
Phone (623) 776-2500

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

1301 S Crismon Rd
#C
Mesa, AZ 85209

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

16620 N 40th St
Ste D1
Phoenix, AZ 85032
Phone (480) 565-7246

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

36453 N Gantzel Rd
Ste 101
San Tan Vly, AZ 85140
Phone (309) 868-2531

1984 E Baseline Rd
Tempe, AZ 85283
Phone (480) 237-1234

1984 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 237-1234

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 10

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 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1245303940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5418",
            "fax_number": "602-344-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN 095531",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166299",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.