Active NPI
Kelly Callahan, CRNA
- Certified Registered Nurse Anesthetist
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00228400
- Practice address
- 130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121 - Phone
- (610) 526-3000
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 1, 2023
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 073193 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00228400 | NJ | Primary |
Addresses
Primary practice location
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Mailing address
PO Box 95000-2130
Philadelphia, PA 19195-2130
Phone (201) 804-2800
Other practice location 1
100 Bowman Dr Fl 1
Voorhees, NJ 08043-9612
Phone (856) 988-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073193 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Shrewsbury Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Society Hill Anesthesia Consultants of New Jersey, PC | Current | Accepting new patients | |
| West Jersey Anesthesia Associate PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Society Hill Anesthesia Consultants, PC | Past | Accepting new patients | |
| Atlantic Coast Gastroenterology Associates | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
405 Bethel Rd
Somers Point, NJ 08244
Phone (609) 601-7600
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645
1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808
200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-3000
Interoperability endpoints
- kcallahan18011@directvirtua.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Anesthesiology Physician
- Cherry Hill, NJ
- NPI 1396797445
-
- Anesthesiology Physician
- Marlton, NJ
- NPI 1609861947
-
- Urgent Care Clinic/Center
- Moorestown, NJ
- NPI 1184174849
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1306934070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2130",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952130",
"telephone_number": "201-804-2800",
"fax_number": "201-804-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S BRYN MAWR AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103121",
"telephone_number": "610-526-3000"
}
],
"practiceLocations": [
{
"address_1": "100 Bowman Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439612",
"country_code": "US",
"telephone_number": "856-988-6260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KELLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "073193",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00228400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.