Individual provider Active NPI

Grace Kelley, CRNA, APRN

  • Certified Registered Nurse Anesthetist
  • Waterbury, CT
National Provider Identifier
1285839282
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
003750 Issued in CT
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

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E57685OtherCTRN LICENCES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000258 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254430358 Reassigns benefits to 3 organizations

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
Resource Anesthesiology Associates of CT PCGroup PAC ID 7517991052, 28 clinicians

Practice addresses (Care Compare)

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666

Hospital & facility affiliations

  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
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

LicenseStateTypeSpecialty
E57685CTMDRegistered Nurse
003750CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of CT PC Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2023 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Aug 3, 2019 Accepting new patients
Connecticut Gi PLLC CurrentSince Jul 1, 2020 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.