Individual provider Active NPI

Carol Ann Fennell, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1295783538
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100850 Issued in NE
Practice address
7801 Wakeley Plaza
Omaha, NE 68114-3651
Phone
(402) 391-4855
Fax
(402) 391-6818
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 100850 NE Primary
Certified Registered Nurse Anesthetist 367500000X 4704290975 MI

Addresses

Primary practice location

7801 Wakeley Plaza
Omaha, NE 68114-3651

Mailing address

7801 Wakeley Plaza
Omaha, NE 68114-3651
Phone (402) 391-4855

Other practice location 1

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200

Other names 1

  • Ms. Carol Ann Keck Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040327000076 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648162370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia West PCGroup PAC ID 4789596834, 72 clinicians

Practice addresses (Care Compare)

707 N 190TH Plaza
Methodist Women's Hospistal
Elkhorn, NE 68022-3974
Phone (402) 815-4000

7801 Wakeley PLZ
Omaha, NE 68114-3651
Phone (402) 391-4855

7915 Farnam Dr
Omaha, NE 68114-4504
Phone (402) 399-1900

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704290975MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia West, P.C. Current Accepting new patients
Midwest Eye Care, PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2015 Accepting new patients
Unmc Physicians CurrentSince Dec 18, 2013 Accepting new patients
Midwest Eye Care PC CurrentSince Dec 1, 2015 Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

7801 Wakeley Plz
Omaha, NE 68114
Phone (402) 391-4855

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

4353 Dodge St
Omaha, NE 68131
Phone (402) 502-5599

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

7915 Farnam Dr
Omaha, NE 68114
Phone (402) 399-1900

Organizations & group practices 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1295783538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143651",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143651",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Evergreen Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495259493",
            "country_code": "US",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100850",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704290975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "KECK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.