Active NPI
Grace Kelley, CRNA, APRN
- Certified Registered Nurse Anesthetist
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 003750
- Practice address
- 140 Grandview Ave
Waterbury, CT 06708-2505 - Phone
- (203) 757-7000
- NPI assigned
- Jun 19, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | E57685 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 003750 | CT | Primary |
Addresses
Primary practice location
140 Grandview Ave
Waterbury, CT 06708-2505
Mailing address
111 Clock Tower Commons
Route 22
Brewster, NY 10509-4055
Phone (845) 592-4919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E57685 | Other | CT | RN LICENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Connecticut School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666
Hospital & facility affiliations
- Charlotte Hungerford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 74.19
- Improvement activities
- 40
- Cost
- 73.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E57685 | CT | MD | Registered Nurse |
| 003750 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of CT PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Connecticut Gi PLLC | Current | Accepting new patients | |
| Surgi-Center Anesthesiologists, P.C | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
160 Robbins St
Waterbury, CT 06708
Phone (203) 573-7284
539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700
Organizations & group practices 4
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
- Torrington, CT
- NPI 1447233176
CT, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
CT
-
- Anesthesiology Physician
- Waterbury, CT
- NPI 1942201264
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1285839282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER COMMONS",
"address_2": "ROUTE 22",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-592-4919",
"fax_number": "845-279-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082505",
"telephone_number": "203-757-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "GRACE",
"credential": "CRNA, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "E57685",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "003750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENCES",
"identifier": "E57685",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.